| NPI | 1649628611 |
|---|---|
| Doing Business As | YOUR LIFE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | NICOLA RAJARAM Billing Manager 954-272-6723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-31 |
| Last Update Date | 2016-05-31 |