| NPI | 1780533117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MOORE Authorized Official 305-361-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital |
| Additional Taxonomies | 273R00000X Psychiatric Unit |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 323P00000X Psychiatric Residential Treatment Facility | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2026-01-27 |
| Last Update Date | 2026-01-27 |