| NPI | 1790157352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL MOSES Clincal Director 305-479-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2015-10-22 |