Organization
EXECUTIVE RANCHES ALCOHOL AND DRUG REHAB CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER BILBAO (MGR)
(786) 412-6372
Entity
Organization
Contact information
Practice address
13201 MUSTANG TRL, SOUTHWEST RANCHES, FL 33330-3740
(786) 412-6372
Mailing address
7100 MELALEUCA RD, SOUTHWEST RANCHES, FL 33330-3833
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/13/2014
Last updated
01/13/2014
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