Organization Name: | HOLISTIC RECOVERY CENTERS, LLC |
NPI Number: | 1013366244 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NICOLA RAJARAM (BILLING MANAGER) |
Mailing Address: | 150 Nw 168th St Suite 200, North Miami Beach |
State: | FL US |
Postal Code: | 331696045 |
Phone Number: | 9543677445 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2016 |
NPI Last Update Date: | 06/08/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |