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BOWLING GREEN INN OF PENSACOLA LLC NPI 1821137035


NPI Information

NPI: 1821137035
Provider Name: BOWLING GREEN INN OF PENSACOLA, LLC

Doing Business As: WELLNESS RESOURCE CENTER

Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization

CLIA Number: 10D2020458

Address:
7940 N FEDERAL HWY
SUITE 120
BOCA RATON, FL
ZIP 33487
Phone: (561) 995-7388
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BOWLING GREEN INN OF PENSACOLA, LLC is a substance abuse rehabilitation facility in Boca Raton, 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. BOWLING GREEN INN OF PENSACOLA, LLC NPI is 1821137035. The provider is registered as an organization entity type.
The provider Is Doing Business As Wellness Resource Center.

The provider's business location address is:

7940 N FEDERAL HWY
SUITE 120
BOCA RATON, FL
ZIP 33487-679
Phone: (561) 995-7388

The provider's authorized official is Christopher Howard .
The authorized official title is Evp & General Counsel and has the following contact phone number (615) 861-6000.

The CLIA number assigned to this NPI record is 10D2020458 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/5/2007 and was last updated on 11/1/2019.


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
1251S00000XCommunity/Behavioral Health0950AD552300FLORIDANo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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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