Addictions Behavioral Health Center of America
Organization Active NPI Substance Abuse Rehabilitation Facility · Wilton Manors, FL
NPI 1134527435 · NPPES record last updated Nov 6, 2015
Key facts
- NPI
- 1134527435
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- ADDICTIONS BEHAVIORAL HEALTH CENTER OF AMERICA
- Practice address
- 1881 NE 26TH St Ste 212
Wilton Manors, FL 33305-1400 - Phone
- (954) 288-2555
- NPI assigned
- Dec 18, 2014
- Organization subpart
- No
Authorized official
- Name
- Mark J Korcok
- Title
- President Ceo
- Phone
- (954) 288-2555
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Addictions Behavioral Health Center of America
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | FL | Yes |
Addresses
Primary practice location
1881 NE 26TH St Ste 212
Wilton Manors, FL 33305-1400
Mailing address
5201 NE 14TH Ter Apt 5
Fort Lauderdale, FL 33334-4927
Phone (954) 288-2555
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.