NPI | 1326669011 |
---|---|
Entity Type | Organization |
Authorized Contact | HOSSEIN JOUKAR Medical Director 305-319-1133 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2020-05-04 |
Last Update Date | 2022-09-23 |