MEDICARE: TRANQUILITY BEHAVIORAL HEALTH 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	:	1508668237
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TRANQUILITY BEHAVIORAL HEALTH CENTERS, LLC

Provider Business Mailing Address
First Line	:	2132 E OAKLAND PARK BLVD STE B
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1109
Country	:	US
Telephone Number	:	720-201-4568
Fax Number	:

Provider Business Practice Location Address
First Line	:	2132 E OAKLAND PARK BLVD STE B
Second Line	:
City	:	FORT LAUDERDALE
State	:	FL
Zip	:	33306-1109
Country	:	US
Telephone Number	:	720-201-4568
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTOPHER ALVAREZ
Credential	:
Telephone Number	:	720-201-4568

Provider Enumeration Date	:	03/25/2025
Last Update Date	:	04/21/2025

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