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Organization

ENLIGHTEN BEHAVIORAL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICKORIA SMITH (CEO)
(813) 300-2846
Entity
Organization

Contact information

Practice address
10810 BOYETTE RD # 3341, RIVERVIEW, FL 33569-8000
(813) 300-2846
Mailing address
10810 BOYETTE RD # 3341, RIVERVIEW, FL 33569-8000
(813) 300-2846

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary

Other

Enumeration date
07/19/2021
Last updated
07/19/2021
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