National Provider Identifier Database

SUNRISE DETOXIFICATION CENTER LLC
Substance Abuse Disorder 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.


Contact Information

SUNRISE DETOXIFICATION CENTER, LLC
3185 BOUTWELL RD
LAKE WORTH, FL33461
Phone: 561-533-0074
Fax: 561-533-8077
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X
Community Based Residential Treatment Facility, Mental Illness 320800000X

* Indicates primary specialty

NPI Profile & details for SUNRISE DETOXIFICATION CENTER, LLC

NPI Number 1154484103
Legal business name
LBN
SUNRISE DETOXIFICATION CENTER, LLC
Authorized official STOKES AITKEN - (COO)
Entity Organization
Organization subpart No
Enumeration date 12/19/2006
Last updated 10/05/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers
  • FL License #: 0950AD113400

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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