| NPI | 1518739614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUNEISHA MADDOX Owner/CEO 305-970-8559 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251B00000X Case Management |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |