NPI | 1003567207 |
---|---|
Doing Business As | ROYAL LIFE CENTERS |
Entity Type | Organization |
Authorized Contact | SHANDALEE JACKSON Credentialing Manager 561-562-6271 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2022-01-10 |
Last Update Date | 2022-06-23 |