| NPI | 1992277206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRI COSTANTINO Office Manager 954-533-3936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2019-01-01 |