| NPI | 1356860738 |
|---|---|
| Doing Business As | DETINY RECOVERY CENTER IOP |
| Entity Type | Organization |
| Authorized Contact | MORDECHAI RUBIN Owner 877-706-2650 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) (Licence: CA 300377AP) |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2017-09-17 |