NPI | 1164057907 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICKA P CARDOSO CEO 786-255-0613 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
251B00000X Case Management | |
251S00000X | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-03-11 |
Last Update Date | 2023-10-05 |