Organization
CHANCE TO LIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY STOCKDALE (CEO)
(561) 283-1118
Entity
Organization
Contact information
Practice address
1700 OLD OKEECHOBEE RD, WEST PALM BEACH, FL 33409-5229
(561) 283-1118
Mailing address
1700 OLD OKEECHOBEE RD, WEST PALM BEACH, FL 33409-5229
(561) 283-1118
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/04/2015
Last updated
08/04/2015
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