| NPI | 1366931701 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FARACHE CEO 786-942-2110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2018-05-01 |
| Last Update Date | 2021-12-09 |