| NPI | 1205164415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSANDRA SIERRA Owner 561-795-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2009-11-28 |
| Last Update Date | 2013-11-12 |