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Organization
HOME DETOX INC
Active
Organization
HOME DETOX INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN FRANCIS SHEWMAN RN / CAP, RMHCI (CEO)
(941) 412-3869
Entity
Organization
Contact information
Practice address
530 US 41 BYPASS SO, UNIT 12B, VENICE, FL 34285
(941) 412-3869
(941) 412-3869
Mailing address
530 US 41 BYPASS SO UNIT 12B, VENICE, FL 34285
(941) 412-3869
(941) 412-3869
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CAP2957
FL
101YM0800X
Mental Health Counselor
LMHLILMH11974
NULL
101YM0800X
Mental Health Counselor
LMHLILMH11974
—
163W00000X
Registered Nurse
RN1572552
FL
Other
Enumeration date
03/21/2014
Last updated
03/21/2014
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