Organization
INNOVATIVE TREATMENT SERVICES, INC.
Active
Organization
INNOVATIVE TREATMENT SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS J HANSEN AA (EXECUTIVE DIRECTOR)
(561) 790-4177
Entity
Organization
Contact information
Practice address
410 NW 3RD STREET, OKEECHOBEE, FL 34972-4129
(863) 467-5335
(863) 467-5366
Mailing address
410 NW 3RD ST, OKEECHOBEE, FL 34972-4129
(863) 467-5335
(863) 467-5366
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW3090
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
600074888
—
FL
Enumeration date
04/24/2008
Last updated
10/18/2012
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