Organization
JUPITER MEDICAL DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SARAH R SACKS LCSW (MANAGER)
(561) 575-2020
Entity
Organization
Contact information
Practice address
1001 W INDIANTOWN RD, SUITE 103, JUPITER, FL 33458-6830
(561) 575-2020
(561) 427-0007
Mailing address
1001 W INDIANTOWN RD, SUITE 103, JUPITER, FL 33458-6830
(561) 575-2020
(561) 427-0007
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/23/2010
Last updated
07/23/2010
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