Organization
EPIPHANY RESOURCES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHEAL NUSSBAUM (CEO)
(561) 777-2024
Entity
Organization
Contact information
Practice address
16110 JOG RD STE 200, DELRAY BEACH, FL 33446-2350
(561) 265-5549
Mailing address
16110 JOG RD STE 200, DELRAY BEACH, FL 33446-2350
(561) 265-5549
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
5001
FL
Other
Enumeration date
09/23/2015
Last updated
07/21/2022
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