Individual provider · Type 1 NPI

Treless Ivey

Children's Substance Abuse Rehabilitation Facility · Lake City, FL

NPI number 1285047472 Active

Practice location

439 SW Michigan St
Lake City, FL 32025-0440

Call (352) 374-5600 Map

Mailing address

PO Box 51
Live Oak, FL 32064-0051

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

373 other providers at this address

About NPI 1285047472

Treless Ivey's National Provider Identifier is 1285047472, issued on Jun 5, 2014. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Lake City, FL. The record was last updated on Jun 5, 2014.