| NPI | 1972220887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL RABINS Executive 786-510-2623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2024-09-12 |