Organization · Type 2 NPI
The Bougainvilla House, Inc.
Recovery Care Clinic/Center · Fort Lauderdale, FL
NPI number
1770949075
Active
Practice location
1727 SE 4th Ave
Fort Lauderdale, FL 33316-2515
Fax (954) 764-6283
Mailing address
1721 SE 4th Ave
Fort Lauderdale, FL 33316-2515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recovery Care Clinic/Center Primary | 261QR0800X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | 1706AD094501 (FL) |
Recovery Care Clinic/Center: Definition to come...
2 other providers at this address
Other recovery care clinic/center providers in Fort Lauderdale
About NPI 1770949075
The Bougainvilla House, Inc.'s National Provider Identifier is 1770949075, issued on Jan 4, 2016. The primary taxonomy on file is Recovery Care Clinic/Center (261QR0800X), and the practice location is in Fort Lauderdale, FL. The record was last updated on Jan 27, 2016.