Active NPI
Tamarac Detox, LLC
- Psychiatric Residential Treatment Facility
- Tamarac, FL
National Provider Identifier
1538737291
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Residential Treatment Facility
- Legal business name
- TAMARAC DETOX, LLC
- Doing business as
- We Level Up FL
- Practice address
- 8290 N University Dr
Tamarac, FL 33321-1710 - Phone
- (855) 460-0139
- NPI assigned
- Jun 17, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Alexandra Korortkevich
- Title
- Exec
- Phone
- (855) 460-0139
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | |||
| Psychiatric Residential Treatment Facility | 323P00000X | Primary | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
8290 N University Dr
Tamarac, FL 33321-1710
Mailing address
1701 Green Rd Ste C
Deerfield Beach, FL 33064-1074
Other names 1
- We Level Up FL
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 10D2228969 | Tamarac Detox, LLC | Certificate of waiver | Jul 5, 2027 |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1785369600000",
"number": "1538737291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 GREEN RD STE C",
"city": "DEERFIELD BEACH",
"state": "FL",
"postal_code": "330641074"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8290 N UNIVERSITY DR",
"city": "TAMARAC",
"state": "FL",
"postal_code": "333211710",
"telephone_number": "855-460-0139"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TAMARAC DETOX, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-06-17",
"last_updated": "2026-07-30",
"certification_date": "2026-07-30",
"status": "A",
"authorized_official_last_name": "KORORTKEVICH",
"authorized_official_first_name": "ALEXANDRA",
"authorized_official_title_or_position": "EXEC",
"authorized_official_telephone_number": "855-460-0139"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
},
{
"code": "323P00000X",
"taxonomy_group": "",
"desc": "Psychiatric Residential Treatment Facility",
"state": null,
"license": null,
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "We Level Up FL",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tamarac, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.