Organization
FRESH LIFE RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM TORRES (CEO)
(561) 444-2189
Entity
Organization
Contact information
Practice address
11 S DIXIE HWY, LAKE WORTH, FL 33461
(561) 444-2189
Mailing address
11 S DIXIE HWY, LAKE WORTH, FL 33461
(561) 444-2189
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1550AD884101
FL
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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