Organization
URP DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MACDONALD (COO)
(954) 654-9072
Entity
Organization
Contact information
Practice address
45 W 17TH ST, RIVIERA BEACH, FL 33404
(954) 654-9072
(954) 251-3718
Mailing address
9050 PINES BLVD STE 460, PEMBROKE PINES, FL 33024-6459
(954) 362-4389
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/26/2018
Last updated
12/21/2022
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