| NPI | 1891670303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN WELCH Executive Director 954-607-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-08-06 |
| Last Update Date | 2025-08-06 |