| NPI | 1396086880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARITSA YZAGUIRRE CEO 561-758-0574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1550AD444001) |
| Enumeration Date | 2013-03-07 |
| Last Update Date | 2013-07-17 |