| NPI | 1225460280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREN MOREL Mrgm 786-473-1930 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1706AD722001) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical (Licence: FL SW10387) | |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2014-06-16 |