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General NPI Number Information
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NPI Number | 1316834153
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Entity Type | Organization
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Legal Business Name | GRACEPOINT TREATMENT CENTER INC.
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Dates
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Enumeration Date | 06/23/2025
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Last Update Date | 02/05/2026
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Provider Practice Location Address
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Address Line | 1919 NE 45TH ST STE 119
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5135
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Country | US
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Telephone | 954-288-2674
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 NE 45TH ST STE 119
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City | FORT LAUDERDALE
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State | FL
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Zip | 33308-5135
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Country | US
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Telephone | 954-288-2674
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM RODMAN
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Credential |
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Telephone | 954-288-2674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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