Organization · Type 2 NPI
Intrepid Detox Residential LLC
Substance Abuse Rehabilitation Facility · Mangonia Park, FL
NPI number
1275176497
Active
Practice location
1120 48th St
Mangonia Park, FL 33407-2302
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
2 other providers at this address
About NPI 1275176497
Intrepid Detox Residential LLC's National Provider Identifier is 1275176497, issued on Oct 21, 2019. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Mangonia Park, FL. The record was last updated on Feb 11, 2020.