| NPI | 1821366303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERNANDO JIMENEZ Medical Director 954-427-8820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1706AD870001) |
| Enumeration Date | 2011-12-12 |
| Last Update Date | 2011-12-12 |