Gate Lodge of Florida, LLC

NPI #1952824567 in Vero Beach, Florida

Provider Information

NPI Number
1952824567
Entity Type
Organization
Organization Name
Gate Lodge of Florida, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
ORIGINS BEHAVIORAL HEALTHCARE, LLC
Primary Specialty
Rehabilitation, Substance Use Disorder Unit
Enumeration Date
Jul 25, 2017
Last Updated
Mar 20, 2018

Practice Location

Address
3395 11TH CT
State
Florida
ZIP Code
32960-5054
Phone
(772) 617-1717

Authorized Official

Name
ROBERT B ROWLING JR.
Title
CEO
Phone
(214) 283-8500

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder
Rehabilitation, Substance Use Disorder Unit

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