Organization
PALM DETOX, INC
Active
Other names
Palm Detox, Inc, Paradise Detox, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT NIZNIK (CEO)
(855) 494-5796
Entity
Organization
Contact information
Practice address
5455 CONNECTICUT AVE, LA MESA, CA 91942-1215
(855) 494-5796
Mailing address
1515 NW 167TH ST STE 300, MIAMI GARDENS, FL 33169-5106
(786) 923-3376
(305) 930-7437
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
CA
Other
Enumeration date
10/17/2017
Last updated
05/29/2020
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