| NPI | 1669774485 |
|---|---|
| Doing Business As | MIDWEST DETOX |
| Entity Type | Organization |
| Authorized Contact | REESA MCKENZIE CFO 561-545-1083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2010-11-30 |
| Last Update Date | 2022-07-21 |