Organization
DIVERSE TREATMENT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW FANALI (CLINICAL DIRECTOR)
(561) 596-1602
Entity
Organization
Contact information
Practice address
415 S FEDERAL HWY, BOYNTON BEACH, FL 33435-4931
(561) 350-3888
(561) 509-0015
Mailing address
19495 BISCAYNE BLVD, 403, AVENTURA, FL 33180-2318
(561) 350-3888
(561) 509-0015
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
11/15/2013
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