Organization
PIVOT TREATMENT AND WELLNESS CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TANYA YOUNG WILLIAMS (AUTHORIZED OFFICIAL)
(800) 844-3149
Entity
Organization
Contact information
Practice address
330 US 1 STE 3, LAKE PARK, FL 33403-3531
(800) 844-3149
Mailing address
330 US 1 STE 3, LAKE PARK, FL 33403-3531
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/11/2019
Last updated
12/09/2019
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