Organization
WINDWARD BEHAVIORAL CARE, INC.
Active
Other names
Serenity Houseof Volusia, Inc./Haven Recovery Center Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MARK BENSEN PH.D. (EXECUTIVE DIRECTOR)
(386) 258-5050
Entity
Organization
Contact information
Practice address
245 S. AMELIA AVENUE, BLDG. A, DELAND, FL 32724-5913
(386) 258-5050
(386) 252-3506
Mailing address
P.O. BOX 2196, DAYTONA BEACH, FL 32115-2196
(386) 258-5050
(386) 252-3506
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
324500000X
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0299804-01
—
FL
Enumeration date
04/10/2006
Last updated
11/21/2014
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