MEDICARE: THE BEST DETOX, LLC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility

General Provider Information

NPI Number	:	1316567993
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE BEST DETOX, LLC.

Provider Business Mailing Address
First Line	:	1590 S CONGRESS AVE
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-5957
Country	:	US
Telephone Number	:	561-562-6269
Fax Number	:

Provider Business Practice Location Address
First Line	:	5402 EAST AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2344
Country	:	US
Telephone Number	:	561-866-0012
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	FRANK CID
Credential	:
Telephone Number	:	561-866-0012

Provider Enumeration Date	:	04/23/2020
Last Update Date	:	04/23/2020

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Directions to “THE BEST DETOX, LLC. ” Practice Location

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