| NPI | 1912145525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL RUSSELL CEO 954-587-7771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1550AD590201) |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |