| NPI | 1053657205 |
|---|---|
| Former Legal Business Name | BEACHWAY THERAPY TREATMENT CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | OLIVIA HOLMES CFO 561-865-5896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: FL 800026636) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: FL 10D2045959) |
| Enumeration Date | 2012-12-17 |
| Last Update Date | 2022-07-21 |