| NPI | 1972276699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERITA C CHANG COO 954-993-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2021-07-28 |
| Last Update Date | 2023-12-11 |