# ADDICTION REHAB NATIONWIDE

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

## Provider details

- **NPI number:** 1528450202
- **Authorized official:** MR. FIDEL MODISE CEO (CEO)
- **Authorized official phone:** (561) 843-9183

## Contact information

- **Practice address:** 1625 RENAISSANCE COMMONS BLVD, 610, BOYNTON BEACH, FL 33426-8284
- **Practice address phone:** (844) 279-7170
- **Mailing address:** 1625 RENAISSANCE COMMONS BLVD, 610, BOYNTON BEACH, FL 33426-8284
- **Mailing address phone:** (561) 843-9183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/04/2015
- **Last updated:** 03/09/2015