Organization
GMH TEQUESTA HOLDINGS LLC
Active
Other names
FUTURES OF PALM BEACH
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING)
(954) 272-6612
Entity
Organization
Contact information
Practice address
701 OLD DIXIE HWY, TEQUESTA, FL 33469-2493
(561) 935-5513
Mailing address
PO BOX 742994, ATLANTA, GA 30374-2994
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/30/2015
Last updated
11/08/2016
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