Healthcare Provider Details

I. General information

NPI: 1861646291
Provider Name (Legal Business Name): TRANSFORMATIONS TREATMENT CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2008
Last Update Date: 02/25/2022
Certification Date: 02/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14000 S MILITARY TRL STE 204A
DELRAY BEACH FL
33484-2654
US

IV. Provider business mailing address

PO BOX 301571
DALLAS TX
75303-1571
US

V. Phone/Fax

Practice location:
  • Phone: 561-237-5306
  • Fax: 561-501-5263
Mailing address:
  • Phone: 561-503-4333
  • Fax: 954-982-6648

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: THOMAS HASSON
Title or Position: DIRECTOR OF BILLING
Credential:
Phone: 561-237-5306