TAMARAC DETOX LLC NPI 1538737291

NPI Details

TAMARAC DETOX, LLC is a psychiatric residential treatment facility in Tamarac, FL. The provider is a residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary TAMARAC DETOX, LLC NPI is 1538737291. The provider is registered as an organization entity type.

The provider's business location address is:

8290 N UNIVERSITY DR
TAMARAC, FL
ZIP 33321-710
Phone: (855) 460-0139

The provider's authorized official is Alexandra Korortkevich .
The authorized official title is Exec and has the following contact phone number (855) 460-0139.

The CLIA number assigned to this NPI record is 10D2228969 - other - substance abuse tf with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/17/2021 and was last updated on 3/21/2025.

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: