| NPI | 1306218623 |
|---|---|
| Other Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MARISSA SANTANA Manager/CEO 305-596-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: FL MT 3043) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-11-15 |