| NPI | 1497136717 |
|---|---|
| Doing Business As | LIFE SOLUTIONS OUTPATIENT NORTH |
| Entity Type | Organization |
| Authorized Contact | STAN K KOTEI Site Director 850-583-5388 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 0237ad383201) |
| Enumeration Date | 2015-06-11 |
| Last Update Date | 2015-06-11 |