| NPI | 1912540766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERT YATES Contracting Supervisor 954-533-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-10-24 |
| Last Update Date | 2023-11-06 |