Organization
WAYSIDE HOUSE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA MCWHORTER (CEO)
(561) 278-0055
Entity
Organization
Contact information
Practice address
378 NE 6TH AVE, DELRAY BEACH, FL 33483-5517
(561) 278-0055
(561) 276-6368
Mailing address
378 NE 6TH AVE, DELRAY BEACH, FL 33483-5517
(561) 278-0055
(561) 276-6368
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
1550AD064401
FL
251S00000X
Community/Behavioral Health Agency
1550AD064401
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
1550AD064401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124342100
—
FL
Enumeration date
08/15/2008
Last updated
01/28/2025
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