Healthcare Provider Details

I. General information

NPI: 1750754891
Provider Name (Legal Business Name): BEACH HOUSE TREATMENT CENTER,LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/12/2015
Last Update Date: 04/14/2026
Certification Date: 04/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13321 US HIGHWAY 1
JUNO BEACH FL
33408-2799
US

IV. Provider business mailing address

13211 US HIGHWAY 1
JUNO BEACH FL
33408-2799
US

V. Phone/Fax

Practice location:
  • Phone: 561-799-1980
  • Fax:
Mailing address:
  • Phone: 561-337-3200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: MARK PUNDT
Title or Position: CEO
Credential:
Phone: 716-912-1267