| NPI | 1699136192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA ISIDORA CEO 305-517-3142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL SW6661) |
| Enumeration Date | 2016-03-10 |
| Last Update Date | 2016-09-13 |