| NPI | 1851638084 |
|---|---|
| Other Name | RANDALL M GREEN |
| Entity Type | Organization |
| Authorized Contact | NEISHA ZAFFUTO Business Manager 954-746-8232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD598901) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |