| NPI | 1922416106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM SETH RUDO Director Of Billing Services 305-479-8222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 1706AD576801) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2021-06-29 |