Celebrate Life Recovery Center Phase Ii, LLC
NPI #1417491820 in North Lauderdale, Florida
Provider Information
- NPI Number
- 1417491820
- Entity Type
- Organization
- Organization Name
- Celebrate Life Recovery Center Phase Ii, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Dec 5, 2016
- Last Updated
- Dec 5, 2016
Practice Location
- Address
- 6043 KIMBERLY BLVD STE U
- City
- North Lauderdale
- State
- Florida
- ZIP Code
- 33068-2826
- Phone
- (954) 951-6005
Authorized Official
- Name
- KELI KORNMILLER
- Title
- ONBOARDING SUPERVISOR
- Phone
- (561) 672-8345
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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