| NPI | 1477974806 |
|---|---|
| Doing Business As | BEACHSIDE REHAB |
| Entity Type | Organization |
| Authorized Contact | IMELDA WELLINGTON Office Manager 772-252-1125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-01-03 |
| Last Update Date | 2014-01-03 |