Organization
URP LAKE WORTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MACDONALD (COO)
(954) 654-9072
Entity
Organization
Contact information
Practice address
4865 40TH WAY S, LAKE WORTH, FL 33461-5301
(549) 654-9072
(954) 251-3718
Mailing address
9050 PINES BLVD STE 460, PEMBROKE PINES, FL 33024-6459
(954) 362-4389
(954) 799-0234
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
02/28/2023
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