| NPI | 1780076273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE O'CONNELL Facility CEO 954-981-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD300501) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 5001) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2022-07-21 |