Organization Name: | WINDWARD BEHAVIORAL CARE, INC. |
NPI Number: | 1023071198 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK BENSEN (EXECUTIVE DIRECTOR) |
Mailing Address: | 245 S. Amelia Avenue Bldg. A Deland |
State: | FL US |
Postal Code: | 327245913 |
Phone Number: | 3862585050 |
Fax Number: | 3862523506 |
NPI Enumeration Date: | 04/10/2006 |
NPI Last Update Date: | 11/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | 324500000X |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Residential Treatment Facilities |
Taxonomy Classification: | Substance Abuse Rehabilitation Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | 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. |