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Contact Information

WELLNESS COUNSELING & RESIDENTIAL DETOXIFICATION SERVICES
3650-3670 NE INDIAN RIVER DRIVE
JENSEN BEACH, FL34957
 Phone: 772-919-8685
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Substance Abuse Disorder Rehabilitation Facility

324500000X
Indicates primary specialty

NPI Profile & details for WELLNESS COUNSELING & RESIDENTIAL DETOXIFICATION SERVICES

NPI Number 1346627270
LBN Legal business name WELLNESS COUNSELING & RESIDENTIAL DETOXIFICATION SERVICES
Authorized official EDWARD ROUSSEAU - (CHIEF ADMINISTRATIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/29/2015
Last updated 06/03/2020 - About 6 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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