| NPI | 1790413342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERLA BUCASEY Chief Executive Officer 954-671-0763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2022-08-11 |
| Last Update Date | 2022-08-11 |