Healthcare Provider Details

I. General information

NPI: 1801278882
Provider Name (Legal Business Name): INFINITY SOLUTIONS TREATMENT CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2015
Last Update Date: 06/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 VISTA PKWY STE 290
WEST PALM BEACH FL
33411-2706
US

IV. Provider business mailing address

2101 VISTA PKWY STE 290
WEST PALM BEACH FL
33411-2706
US

V. Phone/Fax

Practice location:
  • Phone: 561-797-8167
  • Fax:
Mailing address:
  • Phone: 561-797-8167
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1550AD682301
License Number StateFL

VIII. Authorized Official

Name: KEREN CAMP
Title or Position: DIRECTOR OF OPERATIONS
Credential:
Phone: 561-797-8167