Organization Active NPI

Assurance Detox, LLC

  • Substance Abuse Rehabilitation Facility
  • West Palm Beach, FL
National Provider Identifier
1669909438
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
License
5043309775501 Issued in FL
Legal business name
ASSURANCE DETOX, LLC
Practice address
5601 Corporate Way
Suite 111
West Palm Beach, FL 33407-2025
Phone
(561) 985-3131
NPI assigned
May 11, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Christine Depaolis, PHD, LMHC, CAP, CCSANPI 1518346386
Title
Clinical Director
Phone
(561) 985-3131

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X 5043309775501 FL Primary

Addresses

Primary practice location

5601 Corporate Way
Suite 111
West Palm Beach, FL 33407-2025

Mailing address

400 Executive Center Dr Ste 209
West Palm Beach, FL 33401-2922
Phone (561) 508-8330

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1614643200000",
    "number": "1669909438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 EXECUTIVE CENTER DR STE 209",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334012922",
            "telephone_number": "561-508-8330",
            "fax_number": "561-658-2305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 CORPORATE WAY",
            "address_2": "SUITE 111",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072025",
            "telephone_number": "561-985-3131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSURANCE DETOX, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A",
        "authorized_official_last_name": "DEPAOLIS",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "561-985-3131",
        "authorized_official_credential": "PHD, LMHC, CAP, CCSA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "5043309775501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.