| NPI | 1710391966 |
|---|---|
| Doing Business As | KOSHER SOBERIETY |
| Entity Type | Organization |
| Authorized Contact | ZARINA DELMARR Billing Manager 954-678-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-12-23 |