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Organization

HONEY LAKE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KIM NACHTWEY (DIRECTOR OF ADMISSIONS)
(954) 205-0505
Entity
Organization

Contact information

Practice address
1450 NW HONEY LAKE RD, GREENVILLE, FL 32331-4068
(954) 536-9539
Mailing address
13639 ALLAMANDA CIR, PORT CHARLOTTE, FL 33981-3911

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
320800000X
Mental Illness Community Based Residential Treatment Facility
323P00000X
Psychiatric Residential Treatment Facility
Primary
324500000X
Substance Abuse Rehabilitation Facility
FL

Other

Enumeration date
04/11/2017
Last updated
09/30/2022
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