| NPI | 1902347610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY LYNN ACOSTA CEO 305-814-7623 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 347C00000X Private Vehicle |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2017-03-14 |