# GALT OCEAN REHAB LLC

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

## Provider details

- **NPI number:** 1699129189
- **Authorized official:** MS. ADAM RUDO (DIRECTOR OF BILLING SERVICES)
- **Authorized official phone:** (844) 368-1345

## Contact information

- **Practice address:** 4001 N OCEAN DR STE 305, FT LAUDERDALE, FL 33308-5968
- **Practice address phone:** (844) 468-1345
- **Mailing address:** 4001 N OCEAN DR STE 305, FT LAUDERDALE, FL 33308-5968
- **Mailing address phone:** (954) 383-8449

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | NULL | Yes |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | — | — | Yes |

## Other

- **Enumeration date:** 04/20/2016
- **Last updated:** 06/15/2021