NPI: 1083109458
Provider Name: JUPITER TAJ INVESTMENT GROUP, LLC
Former Legal Business Name: JUPITER TAJ INVESTMENT GROUP, LLC
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
3335 BURNS RD
PALM BEACH GARDENS, FL
ZIP 33410
Phone: (561) 529-8059
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JUPITER TAJ INVESTMENT GROUP, LLC is a rehabilitation and substance use disorder clinic center in Palm Beach Gardens, FL. JUPITER TAJ INVESTMENT GROUP, LLC NPI is 1083109458. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Jupiter Taj Investment Group, Llc.
The provider's business location address is:
3335 BURNS RD
PALM BEACH GARDENS, FL
ZIP 33410-311
Phone: (561) 529-8059
The provider's authorized official is Nicholas Bradley Berkos .
The authorized official title is Chief Operating Officer and has the following contact phone number (561) 281-2105.
The enumeration date for this NPI number is 6/27/2018 and was last updated on 6/27/2018.