Organization
NOVUS MEDICAL DETOX CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRYN WESCH (CFO)
(727) 232-8356
Entity
Organization
Contact information
Practice address
9270 ROYAL PALM AVE, NEW PORT RICHEY, FL 34654-5018
(727) 232-8356
(727) 232-8408
Mailing address
9270 ROYAL PALM AVE, NEW PORT RICHEY, FL 34654-5018
(727) 232-8356
(727) 232-8408
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
SR51AD2352-01
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0652AD235201
PA GROUP
FL
Enumeration date
04/03/2013
Last updated
12/07/2016
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