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THE WATERSHED TREATMENT PROGRAM NPI 1760457618


NPI Information

NPI: 1760457618
Provider Name: THE WATERSHED TREATMENT PROGRAM

Doing Business As: THE WATERSHED TREATMENT PROGRAM

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
1 WATERSHED WAY
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 361-6608
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THE WATERSHED TREATMENT PROGRAM 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. THE WATERSHED TREATMENT PROGRAM NPI is 1760457618. The provider is registered as an organization entity type.
The provider Is Doing Business As The Watershed Treatment Program.

The provider's business location address is:

1 WATERSHED WAY
BOYNTON BEACH, FL
ZIP 33426
Phone: (561) 361-6608
Fax: (561) 361-9857

The provider's authorized official is Patrick Kirse .
The authorized official title is Chief Financial Officer and has the following contact phone number (561) 361-6608.

The enumeration date for this NPI number is 2/22/2006 and was last updated on 8/22/2020.


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
1324500000XSubstance Abuse Rehabilitation Facility0950AD552601FLORIDAYes

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: 11/14/2023

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