| NPI | 1225811938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON JIMENO CEO 305-975-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2025-09-17 |