| NPI | 1558804146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA AVILES General Manager 954-709-7124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-11-30 |
| Last Update Date | 2016-11-30 |