| NPI | 1093251225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELINA SURUJON Licensing & Contracting Director 305-785-5520 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2017-01-11 |
| Last Update Date | 2024-08-09 |