Organization
PLUM VILLAGE HEALTH INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA IRIZARRY RN (MANAGER)
(954) 534-5773
Entity
Organization
Contact information
Practice address
555 SW 148TH AVE, DAVIE, FL 33325-3010
(954) 534-5773
Mailing address
555 SW 148TH AVE, DAVIE, FL 33325-3010
(954) 534-5773
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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