| NPI | 1154219681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILEIDYS GOMEZ GONZALEZ Medical Director 305-613-2642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2025-06-24 |
| Last Update Date | 2025-06-24 |