NPI 1316319189
Aisol
Practice location
- Address
- 4875 Park Ridge Blvd STE 103, Boynton Beach, FL 33426-8345
- Phone
- (561) 353-6737
Authorised official
- Name
- Casey Lidlow
- Title
- Mbr
- Phone
- (561) 413-5755
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1316319189
- Entity type
- Organization
- NPI issued
- 20 Oct 2015
- Record last updated
- 24 Jan 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.