| NPI | 1184049983 |
|---|---|
| Doing Business As | LIFESTYLES DETOX |
| Entity Type | Organization |
| Authorized Contact | FRANK CID Owner 561-866-0012 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |