| NPI | 1669089892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUNG ARUWA CEO 786-344-5680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| 261QM2800X Clinic/Center Methadone | |
| 3336I0012X Pharmacy Institutional Pharmacy | |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |