| NPI | 1992004907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENIA VALISHA DAVIS Director 954-684-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 101YM0800X) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |