| NPI | 1003643677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN WOLFE President 786-412-1514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |