| NPI | 1326859216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ISIDORA CEO 954-909-8905 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP1600X Counselor, Pastoral | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2025-01-18 |