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NPI Code Detail

MEDICARE: INTERNATIONAL ASSOCIATION OF TRAUMA & ADDICTION COUNSELORS INC.

MEDICARE: INTERNATIONAL ASSOCIATION OF TRAUMA & ADDICTION COUNSELORS INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1324500000XSubstance Abuse Rehabilitation Facility
2251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1003190406
Entity Type Code : Organization
Provider Name (Legal Business Name) : INTERNATIONAL ASSOCIATION OF TRAUMA & ADDICTION COUNSELORS INC.
Provider Business Mailing Address
First Line : 1030 S STATE ROAD 7
Second Line :
City : PLANTATION
State : FL
Zip : 33317-4525
Country : US
Telephone Number : 549-999-0818
Fax Number : 954-827-7636
Provider Business Practice Location Address
First Line : 1030 S STATE ROAD 7
Second Line :
City : PLANTATION
State : FL
Zip : 33317-4525
Country : US
Telephone Number : 954-999-0818
Fax Number : 954-827-7636
Authorized Official
Title or Position : ADMINISTRATOR
Name : SUZANNE LUTZ
Credential :
Telephone Number : 954-999-0818
Provider Enumeration Date : 10/04/2011
Last Update Date : 06/25/2025

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