NPI | 1912621129 |
---|---|
Other Name | 4610 WINNETKA |
Entity Type | Organization |
Authorized Contact | HOSSEIN JOUKAR Medical Director 305-319-1133 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2022-09-30 |
Last Update Date | 2022-09-30 |