| NPI | 1972003523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA CHANG Cro/Partner 954-993-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2026-05-18 |