| NPI | 1851932214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENE MOLINA Director Of Credentialing & Contrac 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2023-02-17 |