Organization
AMBROSIA SOUTH LLC
Active
Other names
Midwest Detox
Organization subpart
No
Provider details
NPI number
Authorized official
REESA MCKENZIE (CFO)
(561) 545-1083
Entity
Organization
Contact information
Practice address
2010 PONCE DE LEON AVE, UNITS A AND H, WEST PALM BEACH, FL 33407
(561) 578-8600
Mailing address
222 PICADILLY ST, WEST PALM BEACH, FL 33407-6017
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/30/2010
Last updated
07/21/2022
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