BEACHSIDE DETOX LLC NPI 1598272098

NPI Information

BEACHSIDE DETOX LLC is a substance abuse rehabilitation facility in West Palm Beach, 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. BEACHSIDE DETOX LLC NPI is 1598272098. The provider is registered as an organization entity type.

The provider's business location address is:

1101 54TH ST
WEST PALM BEACH, FL
ZIP 33407-419
Phone: (561) 365-3758
Fax: (772) 448-4029

The provider's authorized official is Annemarie Sincavage .
The authorized official title is Cfo and has the following contact phone number (561) 901-4923.

The CLIA number assigned to this NPI record is 10D2133233 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/5/2018 and was last updated on 9/10/2021.

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:

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