Organization
AJ'S TRANSITIONAL LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA SMITH (BILLING DEPARTMENT)
(954) 746-8232
Entity
Organization
Contact information
Practice address
7300 W LAKE DR, LAKE CLARKE SHORES, FL 33406-6722
(954) 746-8232
(954) 746-8231
Mailing address
11924 FOREST HILL BLVD, SUITE 10A-193, WELLINGTON, FL 33414-6256
(954) 746-8232
(954) 746-8231
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
07/16/2013
Last updated
07/07/2014
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