Mangonia Detox Partners, LLC

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

Legal business name

MANGONIA DETOX PARTNERS, LLC

Practice address

1120 48TH St
West Palm Beach, FL 33407-2302

Phone

(561) 717-0486

Fax

(561) 717-0489

NPI assigned

Nov 10, 2017

Organization subpart

No

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

Authorized official

Name

Eric Scher

Title

Ceo

Phone

(561) 717-0486

Specialties & licenses 1

Addresses

Other names 1

• Paragon Residential Detox Center Doing business as

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

{
    "created_epoch": "1510272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510272000000",
    "number": "1831602937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 48TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072302",
            "telephone_number": "561-717-0486",
            "fax_number": "561-717-0489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 48TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334072302",
            "telephone_number": "561-717-0486",
            "fax_number": "561-717-0489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANGONIA DETOX PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-10",
        "last_updated": "2017-11-10",
        "status": "A",
        "authorized_official_last_name": "SCHER",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-717-0486"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Paragon Residential Detox Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• David Mandelblum, MD
• Brian Craig Mandelstein, D.C.
• Deepak Mandi, M.D.
• Regina Louise Manes, O.D.
• Roman Manevich
• Debbie Manigat, DMFT, LMFT
• Wilson Manigat
• Manim Health & Biowellness
• Christopher Maniscalco, LCSW
• Whitney Rochelle Maniscalco, APRN

• Substance Abuse Rehabilitation Facility in West Palm Beach, FL
• Providers in West Palm 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 Nov 10, 2017; 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.