| NPI | 1598616583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA GURNEY Authorized Official 305-361-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2026-02-05 |
| Last Update Date | 2026-05-28 |