| NPI | 1700443520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIA ALASWAD Owner 352-597-7184 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-05-28 |
| Last Update Date | 2019-05-28 |