Organization
EMPIRE DETOX, LLC
Active
Other names
Empire Detox
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN M KAISER CAC (DIRECTOR OF BUSINESS DEVELOPMENT)
(561) 674-2696
Entity
Organization
Contact information
Practice address
3000 NW 101ST LN STE 101-A, CORAL SPRINGS, FL 33065
(844) 533-3869
(561) 370-7899
Mailing address
3000 NW 101ST LN STE 101-A, CORAL SPRINGS, FL 33065-3930
(844) 533-3869
(561) 370-7899
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/02/2018
Last updated
11/17/2019
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