# GATE LODGE OF FLORIDA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ORIGINS BEHAVIORAL HEALTHCARE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1952824567
- **Legal business name:** ORIGINS BEHAVIORAL HEALTHCARE, LLC
- **Authorized official:** ROBERT B ROWLING JR. (CEO)
- **Authorized official phone:** (214) 283-8500

## Contact information

- **Practice address:** 3395 11TH CT, VERO BEACH, FL 32960-5054
- **Practice address phone:** (772) 617-1717
- **Practice address fax:** (772) 778-9032
- **Mailing address:** 933 45TH ST, WEST PALM BEACH, FL 33407-2413
- **Mailing address phone:** (561) 841-1142
- **Mailing address fax:** (561) 841-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0405X | Substance Use Disorder Rehabilitation Clinic/Center | 3147221878801 | FL | — |
| 276400000X | Substance Use Disorder Rehabilitation Hospital Unit | 3147221878801 | FL | Yes |

## Other

- **Enumeration date:** 07/25/2017
- **Last updated:** 03/20/2018