Organization
I-KARE TREATMENT CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE GARY NCRC, NCCM, B.S(PSY) (COO)
(561) 331-8453
Entity
Organization
Contact information
Practice address
1720 E TIFFANY DR STE 101, MANGONIA PARK, FL 33407-3235
(561) 331-8453
(954) 208-0462
Mailing address
1720 E TIFFANY DR STE 101, MANGONIA PARK, FL 33407-3235
(561) 331-8453
(954) 208-0462
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
09/12/2022
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