Organization Name: | ADDICTIONS BEHAVIORAL HEALTH CENTER OF AMERICA |
NPI Number: | 1134527435 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK J KORCOK (PRESIDENT CEO) |
Mailing Address: | 1881 Ne 26th St Ste 212 Wilton Manors |
State: | FL US |
Postal Code: | 333051400 |
Phone Number: | 9542882555 |
Fax Number: | |
NPI Enumeration Date: | 12/18/2014 |
NPI Last Update Date: | 11/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 324500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |