| NPI | 1568821056 |
|---|---|
| Former Legal Business Name | IMMERSION RECOVERY CENTER, LLC |
| Entity Type | Organization |
| Authorized Contact | ROSALIND JOSEPH Authorized Offical 954-607-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-02-12 |
| Last Update Date | 2025-05-20 |