Organization
CELEBRATE LIFE RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VALERIE CHANDLER (PRESIDENT)
(877) 205-2906
Entity
Organization
Contact information
Practice address
850 W DANIA BEACH BLVD, DANIA BEACH, FL 33004-3330
(954) 921-7535
(954) 346-5788
Mailing address
850 W DANIA BEACH BLVD, DANIA BEACH, FL 33004-3330
(954) 921-7535
(954) 346-5788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ME52952
FL
101YM0800X
Mental Health Counselor
ME52952
FL
102L00000X
Psychoanalyst
ME52952
FL
106H00000X
Marriage & Family Therapist
ME52952
FL
251B00000X
Case Management Agency
2215A
FL
251S00000X
Community/Behavioral Health Agency
2215A
FL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
ME52952
FL
261QM0850X
Adult Mental Health Clinic/Center
ME52952
FL
261QR0800X
Recovery Care Clinic/Center
2215A
FL
302R00000X
Health Maintenance Organization
2215A
FL
305R00000X
Preferred Provider Organization
ME52952
FL
305S00000X
Point of Service
2215A
FL
305S00000X
Point of Service
ME52952
FL
Other
Enumeration date
12/12/2009
Last updated
09/16/2010
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