Healthcare Provider Details

I. General information

NPI: 1952810764
Provider Name (Legal Business Name): TRADEWINDS RECOVERY & TREATMENT CENTER, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 N FLORIDA MANGO RD
WEST PALM BEACH FL
33409-6443
US

IV. Provider business mailing address

2000 N FLORIDA MANGO RD
WEST PALM BEACH FL
33409-6443
US

V. Phone/Fax

Practice location:
  • Phone: 954-257-3480
  • Fax:
Mailing address:
  • Phone: 954-257-3480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LIZA DUNN
Title or Position: OWNER
Credential:
Phone: 561-631-8282