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FLORIDA TREATMENT FOR CHANGE INC NPI 1932674538


NPI Information

NPI: 1932674538
Provider Name: FLORIDA TREATMENT FOR CHANGE INC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2164665

Address:
2180 MARAVILLA LN STE 1
FORT MYERS, FL
ZIP 33901
Phone: (239) 202-8993
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FLORIDA TREATMENT FOR CHANGE INC is a substance abuse rehabilitation facility in Fort Myers, 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. FLORIDA TREATMENT FOR CHANGE INC NPI is 1932674538. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2180 MARAVILLA LN STE 1
FORT MYERS, FL
ZIP 33901-221
Phone: (239) 202-8993

The provider's authorized official is Kari-anne Spiller .
The authorized official title is Program Director and has the following contact phone number (239) 333-8079.

The CLIA number assigned to this NPI record is 10D2164665 - comp. outpatient rehab facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/10/2018 and was last updated on 3/12/2019.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 4/28/2024

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