Organization
SUNRISE DETOX LAKE WORTH BEACH FL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ISIDORE BLEIER (AUTHORIZED OFFICIAL)
(732) 948-9995
Entity
Organization
Contact information
Practice address
3185 BOUTWELL RD, LAKE WORTH BEACH, FL 33461-2610
(561) 533-0074
Mailing address
PO BOX 1575, LAKEWOOD, NJ 08701-1018
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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