| NPI | 1609006253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HERMAN E. VEGA Clinical Director 305-644-7294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1113AD301401) |
| Enumeration Date | 2009-07-16 |
| Last Update Date | 2023-05-26 |