NPI | 1689115362 |
---|---|
Doing Business As | WILLOW PLACE |
Entity Type | Organization |
Authorized Contact | NICOLA RAJARAM Implementation 954-272-6612 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: NC MHL-001-366) |
Enumeration Date | 2017-03-15 |
Last Update Date | 2017-03-15 |