| NPI | 1275162984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAX AUGUSTE Owner/Manager 786-445-1081 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2020-04-04 |
| Last Update Date | 2021-08-02 |