# HONEY LAKE CLINIC INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508399056
- **Authorized official:** KIM NACHTWEY (DIRECTOR OF ADMISSIONS)
- **Authorized official phone:** (954) 205-0505

## Contact information

- **Practice address:** 1450 NW HONEY LAKE RD, GREENVILLE, FL 32331-4068
- **Practice address phone:** (954) 536-9539
- **Mailing address:** 13639 ALLAMANDA CIR, PORT CHARLOTTE, FL 33981-3911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | — |
| 320800000X | Mental Illness Community Based Residential Treatment Facility | — | NULL | — |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | FL | — |

## Other

- **Enumeration date:** 04/11/2017
- **Last updated:** 09/30/2022