Organization · Type 2 NPI
Home Detox Inc
Addiction (Substance Use Disorder) Counselor · Venice, FL
NPI number
1831516418
Active
Practice location
530 US 41 Bypass So, Unit 12B
Venice, FL 34285
Fax (941) 412-3869
Mailing address
530 US 41 Bypass So Unit 12B
Venice, FL 34285
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CAP2957 (FL) |
| Mental Health Counselor | 101YM0800X | LMHLILMH11974 |
| Registered Nurse | 163W00000X | RN1572552 (FL) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1831516418
Home Detox Inc's National Provider Identifier is 1831516418, issued on Mar 21, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Venice, FL. The record was last updated on Mar 21, 2014.