NPI | 1558872614 |
---|---|
Doing Business As | PARADISE DETOX, INC |
Doing Business As | PALM DETOX, INC |
Entity Type | Organization |
Authorized Contact | ROBERT NIZNIK CEO 855-494-5796 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-10-17 |
Last Update Date | 2020-05-29 |