Organization
NEW OBJECTIVES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING)
(954) 272-6723
Entity
Organization
Contact information
Practice address
8144 OKEECHOBEE BLVD, WEST PALM BEACH, FL 33411-2004
(561) 223-3269
Mailing address
8144 OKEECHOBEE BLVD STE A, WEST PALM BEACH, FL 33411-2004
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
10/30/2015
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