Organization
BEACHSIDE DETOX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNEMARIE SINCAVAGE (CFO)
(561) 901-4923
Entity
Organization
Contact information
Practice address
1101 54TH ST, WEST PALM BEACH, FL 33407-2419
(561) 365-3758
(772) 448-4029
Mailing address
1101 54TH ST, WEST PALM BEACH, FL 33407-2419
(561) 365-3758
(772) 448-4029
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
CERT-COMP-1001474
FL
Other
Enumeration date
01/05/2018
Last updated
09/10/2021
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