NPI | 1942685144 |
---|---|
Entity Type | Organization |
Authorized Contact | EDWARD ROBERT TEJEIRO Therapist 954-880-2730 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL SW9236) |
Enumeration Date | 2015-07-29 |
Last Update Date | 2015-07-29 |