NPI | 1215758438 |
---|---|
Entity Type | Organization |
Authorized Contact | FRANK LARRAZALETA CEO 305-216-8961 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2024-10-21 |
Last Update Date | 2024-10-29 |