| NPI | 1962096743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYNNE LASICK Director Of Rcm 954-559-1378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-06-07 |