Intrepid Detox Residential Llc

LBN: Intrepid Detox Residential Llc
Intrepid Detox Residential Llc is an health care organization with primary practice located at 1120 48Th St , Mangonia Park FL 33407-2302. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Intrepid Detox Residential Llc can be contacted via phone (866) 871-5111, or through Nash, John via phone (866) 871-5111.

Contact Information

Primary practice address
1120 48Th St Mangonia Park FL 33407-2302
Phone: (866) 871-5111
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nash, John
Phone: (866) 871-5111

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1275176497
LBN Legal business name Intrepid Detox Residential Llc
DBA Doing business as
Authorized official Nash, John
Entity Organization
Organization subpart 1 No
Enumeration date Oct 21st, 2019
Last updated Feb 11th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers