| NPI | 1669047734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL VELASQUEZ CFO 407-215-0095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2022-07-22 |