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Organization

PHPTS OF ORMOND BEACH, LLC

Active
Other names
5Palms
Organization subpart
No

Provider details

NPI number
Authorized official
SCOTT M. SASSERSON (CHIEF EXECUTIVE OFFICER)
(931) 994-8001
Entity
Organization

Contact information

Practice address
515 TOMOKA AVE, ORMOND BEACH, FL 32174-6133
(281) 506-0831
Mailing address
PO BOX 207983, DALLAS, TX 75320-7983
(281) 506-0831

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
324500000X
Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
01/24/2017
Last updated
03/07/2022
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