| NPI | 1215620968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL DOLS Owner 305-902-0177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-05-30 |
| Last Update Date | 2023-05-30 |