Organization
LIFESTYLES COLLEGE OF DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON HOOTS-CID (DIRECTOR)
(954) 678-0078
Entity
Organization
Contact information
Practice address
440 SE 5TH AVE, DELRAY BEACH, FL 33483-5211
(561) 450-6320
(561) 865-5628
Mailing address
440 SE 5TH AVE, DELRAY BEACH, FL 33483-5211
(561) 450-6320
(561) 865-5628
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
12/09/2010
Last updated
07/21/2014
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