Organization
NEW LEAF FLORIDA LLC
Active
Other names
The Gardens at Lake Worth
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING MANAGER)
(954) 272-6723
Entity
Organization
Contact information
Practice address
4828 LAKE WORTH RD, GREENACRES, FL 33463-3456
(908) 400-8606
Mailing address
PO BOX 743151, ATLANTA, GA 30374-3151
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
06/08/2016
Last updated
06/08/2016
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