Organization
GATE LODGE OF FLORIDA, LLC
Active
Parent organization
ORIGINS BEHAVIORAL HEALTHCARE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ORIGINS BEHAVIORAL HEALTHCARE, LLC
Authorized official
ROBERT B ROWLING JR. (CEO)
(214) 283-8500
Entity
Organization
Contact information
Practice address
3395 11TH CT, VERO BEACH, FL 32960-5054
(772) 617-1717
(772) 778-9032
Mailing address
933 45TH ST, WEST PALM BEACH, FL 33407-2413
(561) 841-1142
(561) 841-1001
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
3147221878801
FL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
3147221878801
FL
Other
Enumeration date
07/25/2017
Last updated
03/20/2018
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