| NPI | 1811698152 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL PHILIP KESARIS CEO, Owner 954-665-3826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-11-15 |