| NPI | 1558210997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE Authorized Official 305-361-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |