Organization · Type 2 NPI

Lifeworks Substance Abuse Services LLC

Substance Abuse Rehabilitation Facility · Port Charlotte, FL

NPI number 1487055919 Active

Practice location

4678 Tamiami Trl, #105
Port Charlotte, FL 33980-2900

Fax (941) 979-5064

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XMH8565 (FL)
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1487055919

Lifeworks Substance Abuse Services LLC's National Provider Identifier is 1487055919, issued on Sep 16, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Port Charlotte, FL. The record was last updated on Jun 29, 2016.