Klean Life Detox
NPI #1861967002 in Riviera Beach, Florida
Provider Information
- NPI Number
- 1861967002
- Entity Type
- Organization
- Organization Name
- Klean Life Detox
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Oct 3, 2018
- Last Updated
- Oct 3, 2018
Practice Location
- Address
- 207 E BLUE HERON BLVD STE 3
- City
- Riviera Beach
- State
- Florida
- ZIP Code
- 33404-4560
- Phone
- (561) 634-6400
Authorized Official
- Name
- MR. KASALI OPABOLA JR.
- Title
- CEO
- Phone
- (561) 634-6400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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