| 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 |