Organization · Type 2 NPI

Jupiter Medical Center Pavilion, Inc.

Substance Abuse Rehabilitation Facility · Jupiter, FL

NPI number 1073914917 Active

Practice location

1230 S Old Dixie Hwy
Jupiter, FL 33458-7205

Fax (561) 263-5730

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	SNF1263096 (FL)

Substance Abuse Rehabilitation Facility: 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.

14 other providers at this address

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NPI record

NPI: 1073914917
Entity type: Organization (Type 2)
Issued: Sep 10, 2014
Last updated: Sep 10, 2014
Status: Active
Subpart: Yes of Jupiter Medical Center Pavilion, Inc.

Other names

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Lighthouse Detox · doing business as

Authorized official

Betsy Heartfield, MSPT, NHA
Administrator
(561) 263-5090

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1073914917

Jupiter Medical Center Pavilion, Inc.'s National Provider Identifier is 1073914917, issued on Sep 10, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jupiter, FL. The record was last updated on Sep 10, 2014.