Freedom House Of Palm Beach Gardens
Substance Abuse Rehabilitation Facility in Lake Park, FL. Organization (NPI-2).
NPI number1346512795
StatusActive
Last updated in NPPESMar 6, 2012
Details
- NPI
- 1346512795
- Entity type
- Organization (NPI-2)
- Legal business name
- Freedom House Of Palm Beach Gardens
- Organization subpart
- No
- Enumeration date
- Feb 1, 2012
- Last updated
- Mar 6, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | NAP6013335 | FL | Yes |
Practice location
1433 10th StLake Park, FL 33403-2041
Phone 561-845-0373 · Fax 561-845-6830
Mailing address
1433 10th StreetLake Park, FL 33403
Phone 561-845-0373 · Fax 561-845-6830
Authorized official
Jack Demarco
Director
5618450373
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