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General NPI Number Information
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NPI Number | 1902484918
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Entity Type | Organization
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Legal Business Name | TREATMENT CENTERS OF AMERICA, LLC
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Dates
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Enumeration Date | 03/31/2021
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 11900 SE FEDERAL HWY STE 212
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City | HOBE SOUND
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State | FL
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Zip | 33455-5319
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Country | US
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Telephone | 561-815-2649
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Fax |
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Provider Business Mailing Address
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Address Line | 401 OLD DIXIE HWY UNIT STE 3329
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City | JUPITER
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State | FL
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Zip | 33469-2497
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Country | US
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Telephone | 772-248-4800
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Fax |
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Authorized Official
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Title or Position | RCM
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Name | ROMY AMILCA
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Credential |
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Telephone | 772-248-4800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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