| NPI | 1902628027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WALI SYKES CEO 305-954-0173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X Meals |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2024-10-29 |