Organization
CELEBRATE LIFE RECOVERY CENTER PHASE II, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (ONBOARDING SUPERVISOR)
(561) 672-8345
Entity
Organization
Contact information
Practice address
6043 KIMBERLY BLVD STE U, NORTH LAUDERDALE, FL 33068-2826
(954) 951-6005
(954) 951-6006
Mailing address
4955 NW 84TH RD, CORAL SPRINGS, FL 33067-1973
(954) 951-6005
(954) 951-6006
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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