| NPI | 1013288398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREY ROSSIN Managing Partner 786-942-0502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 09504147Z) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |