PORT CHARLOTTE DETOX LLC NPI 1497408488

NPI Information

NPI: 1497408488
Provider Name: PORT CHARLOTTE DETOX LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
3460 DEPEW AVE
PORT CHARLOTTE, FL
ZIP 33952
Phone: (609) 342-9430
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PORT CHARLOTTE DETOX LLC is a substance abuse rehabilitation facility in Port Charlotte, 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. PORT CHARLOTTE DETOX LLC NPI is 1497408488. The provider is registered as an organization entity type.

The provider's business location address is:

3460 DEPEW AVE
PORT CHARLOTTE, FL
ZIP 33952-015
Phone: (609) 342-9430

The provider's authorized official is Timothy Meise .
The authorized official title is Ceo and has the following contact phone number (609) 342-9430.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

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
1	324500000X	Substance Abuse Rehabilitation Facility				Yes

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

NPI Synchronization or Removal

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