| NPI | 1831678812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FARACHE CEO 954-744-3696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-060-1379) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2022-05-03 |