| NPI | 1609535145 |
|---|---|
| Doing Business As | BACK TO LIFE |
| Entity Type | Organization |
| Authorized Contact | PATRICK GOVINDA MANESS Owner/Provider 561-802-8074 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2021-12-13 |
| Last Update Date | 2021-12-13 |