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NPI Code Detail

MEDICARE: CENTER FOR ALCOHOL AND DRUG STUDIES, LLC.

MEDICARE: CENTER FOR ALCOHOL AND DRUG STUDIES, 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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center1550AD142111FL
2283Q00000XPsychiatric Hospital
3323P00000XPsychiatric Residential Treatment Facility
4324500000XSubstance Abuse Rehabilitation FacilityCERT-COMP-1004664FL

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 : 1801227046
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTER FOR ALCOHOL AND DRUG STUDIES, LLC.
Provider Business Mailing Address
First Line : 225 N FEDERAL HWY
Second Line :
City : POMPANO BEACH
State : FL
Zip : 33062-4319
Country : US
Telephone Number : 954-533-7705
Fax Number : 954-781-7173
Provider Business Practice Location Address
First Line : 7859 LAKE WORTH RD
Second Line :
City : LAKE WORTH
State : FL
Zip : 33467-3225
Country : US
Telephone Number : 561-465-1000
Fax Number : 561-465-1004
Authorized Official
Title or Position : CEO
Name : JOHN SORY
Credential :
Telephone Number : 954-533-7705
Provider Enumeration Date : 12/12/2013
Last Update Date : 05/13/2025

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