Organization
SUNRISE DETOXIFICATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STOKES AITKEN (COO)
(561) 318-4411
Entity
Organization
Contact information
Practice address
3185 BOUTWELL RD, LAKE WORTH, FL 33461
(561) 533-0074
(561) 533-8077
Mailing address
2328 10TH AVE #301, LAKE WORTH, FL 33461
(561) 318-4414
(561) 423-0363
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
0950AD113400
FL
Other
Enumeration date
12/19/2006
Last updated
10/05/2023
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