| NPI | 1184306433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNAIZA SHARMA Owner 305-766-9667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2023-08-07 |