| NPI | 1902331929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER DACCHILLE CEO 786-308-1676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-06-26 |