| NPI | 1629566112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL PACHECO Owner/CEO 305-331-2083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X Meals |
| 177F00000X Lodging | |
| 251B00000X Case Management | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2018-04-30 |