| NPI | 1467141028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO CAPETILLO CEO/Owner 786-340-7882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Additional Taxonomies | 251S00000X |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-05-01 |
| Last Update Date | 2024-11-27 |