Provider Type Icon

SUNRISE DETOXIFICATION CENTER LLC NPI 1154484103


NPI Information

NPI: 1154484103
Provider Name: SUNRISE DETOXIFICATION CENTER, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D1051099

Address:
3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461
Phone: (561) 533-0074
Get Directions

SUNRISE DETOXIFICATION CENTER, LLC is a substance abuse rehabilitation facility in Lake Worth, FL. The provider is 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. SUNRISE DETOXIFICATION CENTER, LLC NPI is 1154484103. The provider is registered as an organization entity type.

The provider's business location address is:

3185 BOUTWELL RD
LAKE WORTH, FL
ZIP 33461
Phone: (561) 533-0074
Fax: (561) 533-8077

The provider's authorized official is Stokes Aitken .
The authorized official title is Coo and has the following contact phone number (561) 318-4411.

The CLIA number assigned to this NPI record is 10D1051099 - other - detox center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 10/5/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1320800000XCommunity Based Residential Treatment Facility, Mental IllnessNo
2324500000XSubstance Abuse Rehabilitation Facility0950AD113400FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.