| NPI | 1023413960 |
|---|---|
| Doing Business As | BRENTWOOD DETOX |
| Entity Type | Organization |
| Authorized Contact | STOKES AITKEN COO 561-318-4411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NY #151011810) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2023-10-05 |