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KLEAN LIFE DETOX
NPI 1861967002
Clinic/Center - Rehabilitation, Substance Use Disorder in Riviera Beach, FL

Active since October 03, 2018
207 E BLUE HERON BLVD STE 3, RIVIERA BEACH, FL 33404(561) 634-6400 Get Directions Write a Review

NPPES record last updated: October 3, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Klean Life Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KLEAN LIFE DETOX (NPI 1861967002) is a healthcare organization registered as a rehabilitation, substance use disorder in Riviera Beach, Florida and active in the NPI registry since October 2018. The organization lists Kasali Opabola, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861967002
Entity TypeOrganization
Primary Taxonomy261QR0405X
Legal Business NameKLEAN LIFE DETOX
Location Address207 E BLUE HERON BLVD STE 3Riviera Beach, FL 33404-4560
Mailing Address7135 Via AbruzziLake Worth, FL 33467-6940
Phone(561) 634-6400
Organization SubpartNo
Authorized OfficialKasali OpabolaCeo · (561) 634-6400
Enumeration DateOctober 3, 2018
✔ NPI 1861967002 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities
Taxonomy Code261QR0405X
207 E BLUE HERON BLVD STE 3, Riviera Beach, FL 33404
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Klean Life Detox's NPI number?

The NPI number for Klean Life Detox is 1861967002. It was assigned to this organization in the NPPES registry on October 3, 2018.

Where is Klean Life Detox located?

Klean Life Detox is located at 207 E Blue Heron Blvd Ste 3, Riviera Beach, FL 33404. The listed phone number is (561) 634-6400.

What is Klean Life Detox's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Klean Life Detox was last updated on October 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.