# HOME DETOX INC

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

## Provider details

- **NPI number:** 1831516418
- **Authorized official:** MR. NORMAN FRANCIS SHEWMAN RN / CAP, RMHCI (CEO)
- **Authorized official phone:** (941) 412-3869

## Contact information

- **Practice address:** 530 US 41 BYPASS SO, UNIT 12B, VENICE, FL 34285
- **Practice address phone:** (941) 412-3869
- **Practice address fax:** (941) 412-3869
- **Mailing address:** 530 US 41 BYPASS SO UNIT 12B, VENICE, FL 34285
- **Mailing address phone:** (941) 412-3869
- **Mailing address fax:** (941) 412-3869

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YA0400X | Addiction (Substance Use Disorder) Counselor | CAP2957 | FL | Yes |
| 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