Organization
WELLINGTON RETREAT, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYNE MARIE BAZZANO (DIRECTOR, BILLING/CONTRACTING)
(561) 296-5288
Entity
Organization
Contact information
Practice address
7051 SEACREST BLVD, LANTANA, FL 33462-5139
(561) 296-5288
(561) 623-0089
Mailing address
7051 SEACREST BLVD, LANTANA, FL 33462-5139
(561) 296-5288
(561) 296-5287
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/11/2011
Last updated
01/17/2019
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