Organization
LYNS HAVEN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LOUISE Y NICHOLSON (PRESIDENT)
(561) 376-1776
Entity
Organization
Contact information
Practice address
609 SW 14TH ST, BELLE GLADE, FL 33430-3728
(561) 376-1776
Mailing address
680 LAWRENCE RD, DELRAY BEACH, FL 33445-2341
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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