| NPI | 1134507890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA VAN DYNE CEO 786-457-1996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |