NPI | 1578434247 |
---|---|
Entity Type | Organization |
Authorized Contact | MAHER SOUDAH Owner 305-709-0282 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
324500000X Substance Abuse Rehabilitation Facility | |
261QC1500X Clinic/Center, Community Health | |
Enumeration Date | 2025-09-16 |
Last Update Date | 2025-09-22 |