Organization · Type 2 NPI

Port Charlotte Detox LLC

Substance Abuse Rehabilitation Facility · Port Charlotte, FL

NPI number 1497408488 Active

Practice location

3460 Depew Ave
Port Charlotte, FL 33952-7015

Specialties and licenses

TaxonomyCodeLicense
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 1497408488

Port Charlotte Detox LLC's National Provider Identifier is 1497408488, issued on Jan 31, 2022. 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 Jan 31, 2022.