| NPI | 1336511781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIREL ALVAREZ Owner 786-626-5387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2024-07-24 |