| NPI | 1831507458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARDO FERNANDO ALVAREZ CEO 305-445-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8861) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: FL 1113AD499302) | |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2019-08-01 |