IMMERSION RESIDENTIAL LLC NPI 1710457783

NPI Information

IMMERSION RESIDENTIAL LLC is a substance abuse rehabilitation facility in Boynton 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. IMMERSION RESIDENTIAL LLC NPI is 1710457783. The provider is registered as an organization entity type.

The provider's business location address is:

900 N CONGRESS AVE
BOYNTON BEACH, FL
ZIP 33426
Phone: (877) 831-2533

The provider's authorized official is Justin Williams .
The authorized official title is Financial Controller and has the following contact phone number (954) 634-4425.

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

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:

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.