| NPI | 1801222963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHULR MOGILEVISKI Billing Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2019-02-20 |