| NPI | 1598164279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA COCCHIARELLA Program Director 305-725-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1706AD699801) |
| Enumeration Date | 2014-08-19 |
| Last Update Date | 2014-08-19 |