| NPI | 1609409762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNY ZAYAS Credentialing Manager 305-725-3748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-02-18 |
| Last Update Date | 2024-11-13 |