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 | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2020-02-18 |
Last Update Date | 2025-04-24 |