| NPI | 1912440074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BORKOWSKI Authorized Official 954-487-1224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2019-03-20 |