Organization
SUNRISE DETOX FORT LAUDERDALE FL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOEL HERSKO (AUTHORIZED OFFICIAL)
(347) 661-0013
Entity
Organization
Contact information
Practice address
2331 NE 53RD ST, FORT LAUDERDALE, FL 33308-3235
(954) 491-9700
Mailing address
PO BOX 1575, LAKEWOOD, NJ 08701-1018
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/16/2026
Last updated
04/16/2026
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