| NPI | 1124734199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA M RUSSO Director Of Finance 305-733-0843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-01-24 |
| Last Update Date | 2024-01-04 |