The Watershed Treatment Program

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

0950AD552601 Issued in FL

Legal business name

THE WATERSHED TREATMENT PROGRAM

Practice address

1 Watershed Way
Boynton Beach, FL 33426

Phone

(561) 361-6608

Fax

(561) 361-9857

NPI assigned

Feb 22, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Patrick Kirse, CPA

Title

Chief Financial Officer

Phone

(561) 361-6608

Specialties & licenses 1

Addresses

Other names 1

• THE WATERSHED TREATMENT PROGRAM Doing business as

Locations

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1760457618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CONGRESS PARK DR",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334454618",
            "telephone_number": "561-361-6608",
            "fax_number": "561-361-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WATERSHED WAY",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "33426",
            "telephone_number": "561-361-6608",
            "fax_number": "561-361-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE WATERSHED TREATMENT PROGRAM",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KIRSE",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "561-361-6608",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPA"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "FL",
            "license": "0950AD552601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "THE WATERSHED TREATMENT PROGRAM",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Substance Abuse Rehabilitation Facility in Boynton Beach, FL
• Providers in Boynton Beach, 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 Aug 22, 2020; 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.