Organization
AMERICAN DETOX AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIA ALASWAD CEO (OWNER)
(352) 597-7184
Entity
Organization
Contact information
Practice address
12150 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 597-7184
(352) 597-7186
Mailing address
12150 CORTEZ BLVD, BROOKSVILLE, FL 34613-5575
(352) 591-7184
(352) 597-7186
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/28/2019
Last updated
05/28/2019
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