| NPI | 1053865642 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER M FUNDORA CEO 305-610-1747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-08-11 |
| Last Update Date | 2016-08-11 |