| NPI | 1679812168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIAN FRANK RODRIGUEZ CEO 561-617-3437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL ADC-010270-2015) |
| Additional Taxonomies | 251S00000X (Licence: FL L11000117623) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2013-02-05 |
| Last Update Date | 2020-08-11 |