| NPI | 1457130346 |
|---|---|
| Doing Business As | LIVE OAK DETOX |
| Entity Type | Organization |
| Authorized Contact | CODY NEELEY CEO 561-225-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-09-28 |
| Last Update Date | 2024-05-06 |