Organization Name: | CELEBRATE LIFE RECOVERY CENTER |
NPI Number: | 1720317282 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | VALERIE CHANDLER (PRESIDENT) |
Mailing Address: | 850 W Dania Beach Blvd Dania Beach |
State: | FL US |
Postal Code: | 330043330 |
Phone Number: | 9549217535 |
Fax Number: | 9543465788 |
NPI Enumeration Date: | 12/12/2009 |
NPI Last Update Date: | 09/16/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | ME52952 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |