Organization
FORT LAUDERDALE ADDICTION TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARC TANNER (CEO)
(954) 445-6980
Entity
Organization
Contact information
Practice address
307 SW 5TH ST, FT LAUDERDALE, FL 33315-1048
(954) 445-6980
Mailing address
PO BOX 904019, CHARLOTTE, NC 28290-4019
(954) 445-6980
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
09/12/2011
Last updated
04/11/2013
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