| NPI | 1962954156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIMI BIEDA Owner 561-910-4954 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 5001) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2022-07-21 |