| NPI | 1093307720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C RIVERA GONZALEZ CEO 786-472-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2024-02-09 |