MEDICARE: HOLISTIX TREATMENT CENTERS, LLC

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number	:	1265054761
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIX TREATMENT CENTERS, LLC

Provider Business Mailing Address
First Line	:	1701 GREEN RD STE C
Second Line	:
City	:	DEERFIELD BEACH
State	:	FL
Zip	:	33064-1074
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5311 LAKE WORTH RD
Second Line	:
City	:	GREENACRES
State	:	FL
Zip	:	33463-3353
Country	:	US
Telephone Number	:	954-908-3958
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	STELIOS FINDRILAKIS
Credential	:
Telephone Number	:	954-634-4425

Provider Enumeration Date	:	05/07/2020
Last Update Date	:	05/07/2020

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