NPI | 1063861284 |
---|---|
Doing Business As | THE GARDENS AT LAKE WORTH |
Entity Type | Organization |
Authorized Contact | NICOLA RAJARAM Billing Manager 954-272-6723 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-06-08 |
Last Update Date | 2016-06-08 |