| NPI | 1821468224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANKIE ESTEBAN VALLE Managing Partner 813-781-7475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 2945501557301) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2016-09-22 |