| NPI | 1467807370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DOUTHAT Administrator 305-809-8430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-29 |