Fort Lauderdale Addiction Treatment Center

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

FORT LAUDERDALE ADDICTION TREATMENT CENTER

Practice address

307 SW 5TH St
Ft Lauderdale, FL 33315-1048

Phone

(954) 445-6980

NPI assigned

Sep 12, 2011

Last updated

Apr 11, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marc Tanner

Title

Ceo

Phone

(954) 445-6980

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1315785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365638400000",
    "number": "1679855175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 904019",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282904019",
            "telephone_number": "954-445-6980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 SW 5TH ST",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151048",
            "telephone_number": "954-445-6980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORT LAUDERDALE ADDICTION TREATMENT CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-12",
        "last_updated": "2013-04-11",
        "status": "A",
        "authorized_official_last_name": "TANNER",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-445-6980"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Substance Abuse Rehabilitation Facility in Fort Lauderdale, FL
• Providers in Fort Lauderdale, FL by specialty
• Substance Abuse Rehabilitation Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.