Organization
EBB TIDE TREATMENT LLC
Active
Organization
EBB TIDE TREATMENT LLC
Active
Other names
Ebb Tide Treatment Centers
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH KILKENNY DONOVAN (CEO)
(561) 508-8330
Entity
Organization
Contact information
Practice address
5737 CORPORATE WAY, WEST PALM BEACH, FL 33407-2003
(561) 508-8330
Mailing address
5737 CORPORATE WAY, WEST PALM BEACH, FL 33407-2003
(561) 508-8330
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
FL
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
02/26/2016
Last updated
02/06/2026
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