| 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 |