MEDICARE: DRUG ABUSE FOUNDATION

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
1	3245S0500X	Children's Substance Abuse Rehabilitation Facility	MH8264	FL

General Provider Information

NPI Number	:	1205362712
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DRUG ABUSE FOUNDATION

Provider Business Mailing Address
First Line	:	400 S SWINTON AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3553
Country	:	US
Telephone Number	:	561-278-0000
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 S SWINTON AVE
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-3553
Country	:	US
Telephone Number	:	561-278-0000
Fax Number	:

Authorized Official
Title or Position	:	CHIEF OF STAFF
Name	:	STEPHANIE THOMPSON
Credential	:
Telephone Number	:	561-278-0000

Provider Enumeration Date	:	05/03/2017
Last Update Date	:	05/03/2017

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