| NPI | 1114498565 |
|---|---|
| Doing Business As | LAKE WORTH HOLISTIX DETOX |
| Entity Type | Organization |
| Authorized Contact | RYAN ZOFAY Executive 954-908-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-12-11 |
| Last Update Date | 2018-12-11 |