| NPI | 1891575890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E FESEFELDT Chief Operating Officer 954-654-2350 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2023-10-05 |
| Last Update Date | 2024-02-09 |