| NPI | 1881966190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE TOLEDO CEO & Medical Director 772-919-1422 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 1956AD877101) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |