| NPI | 1780243394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSH FENSTER CEO/Owner 954-304-4928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 103TP2701X Psychologist, Group Psychotherapy |
| Enumeration Date | 2019-06-07 |
| Last Update Date | 2020-02-26 |