NPI | 1679951198 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIAN FRANK RODRIGUEZ CEO/Clinical Psychotherapist 954-257-3480 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL L11000117623) |
Additional Taxonomies | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: FL L11000117623) |
Enumeration Date | 2015-05-16 |
Last Update Date | 2015-05-16 |