Organization Name: | CENTER FOR ALCOHOL AND DRUG STUDIES, INC. |
NPI Number: | 1548690316 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DAVID HU (MEDICAL DIRECTOR) |
Mailing Address: | 509 N Federal Hwy Lake Park |
State: | FL US |
Postal Code: | 334033573 |
Phone Number: | 5614651400 |
Fax Number: | 5614651401 |
NPI Enumeration Date: | 11/15/2013 |
NPI Last Update Date: | 08/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1550AD142110 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |