| NPI | 1184627739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RABBITO Deputy COO 305-799-1286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL XI-497) |
| 101YM0800X Counselor, Mental Health (Licence: FL 0342) | |
| 251K00000X Public Health or Welfare (Licence: FL 1399) | |
| 251S00000X | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: FL 47161) | |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2020-09-01 |