Organization
LIFE STEPS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLA RAJARAM (BILLING MANAGER)
(954) 272-6723
Entity
Organization
Contact information
Practice address
901 N CONGRESS AVE, SUITE B102, BOYNTON BEACH, FL 33426-3316
(888) 357-8377
Mailing address
PO BOX 4682, BOYNTON BEACH, FL 33424-4682
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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