Organization
EBH ACQUISITION SUBSIDIARY, INC
Active
Parent organization
ELEMENTS BEHAVIORAL HEALTH, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ELEMENTS BEHAVIORAL HEALTH, INC.
Authorized official
DR. DAVID A SACK M.D. (PRESIDENT)
(562) 741-6471
Entity
Organization
Contact information
Practice address
3100 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4327
(954) 200-8308
Mailing address
3100 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4327
(954) 200-8308
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2011
Last updated
10/26/2011
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