| 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 |