Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
INTREPID DETOX RESIDENTIAL LLC
Active OrganizationINTREPID DETOX RESIDENTIAL LLC is a Substance Abuse Rehabilitation Facility organization located in MANGONIA PARK, Florida. NPI 1275176497 is currently active in the NPPES registry. Verify at CMS.
Substance Abuse Rehabilitation Facility · MANGONIA PARK, FL
Registration Details
- NPI Number
- 1275176497
- Provider Type
- Organization
- NPI Issued
- Oct 21, 2019 (6.8086293237794 yrs)
- Last Updated
- Feb 11, 2020
Practice Information
- Address
-
1120 48TH STMANGONIA PARK, FL, 334072302Browse FL providers · Browse ZIP 33407
- Phone
- 8668715111
- Primary Specialty
-
Substance Abuse Rehabilitation Facility
324500000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.