| NPI | 1821478405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL VP, Administrative Director 954-256-8213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-06-09 |
| Last Update Date | 2017-03-31 |