| NPI | 1881096360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK J KORCOK CEO 954-288-2555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL Applied For) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |