| NPI | 1134782154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL ALEJO QUINTERO CEO 305-342-8736 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2021-10-06 |