| NPI | 1730614769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERONICA HERNANDEZ Director Of Billing 954-203-3584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0601) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2022-07-21 |