Organization · Type 2 NPI
Costa Rica Executive Rehab
Substance Abuse Rehabilitation Facility · Escazu, CR
NPI number
1902396138
Active
Practice location
Calle Hoja Blanca
Escazu, CR 10201
Mailing address
2716 Oak Tree Ln
Fort Lauderdale, FL 33309-6700
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
About NPI 1902396138
Costa Rica Executive Rehab's National Provider Identifier is 1902396138, issued on May 14, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Escazu, CR. The record was last updated on Jun 16, 2018.