# LIFE TRACKS TREATMENT CENTER LLC.

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

## Provider details

- **NPI number:** 1699153957
- **Authorized official:** MR. ALEJANDRO LAZARO CASTILLO LMHC, LMFT, CAP (CLINICAL DIRECTOR)
- **Authorized official phone:** (954) 800-4111

## Contact information

- **Practice address:** 100 S MILITARY TRL, SUITE 7, DEERFIELD BEACH, FL 33442-3015
- **Practice address phone:** (954) 800-4111
- **Practice address fax:** (954) 800-4112
- **Mailing address:** 100 S MILITARY TRL, SUITE 7, DEERFIELD BEACH, FL 33442-3015
- **Mailing address phone:** (954) 800-4111
- **Mailing address fax:** (954) 800-4112

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | MH8360 | FL | Yes |

## Other

- **Enumeration date:** 05/07/2015
- **Last updated:** 05/07/2015