| Central Florida Treatment Center Lake Worth | |
|
3155 Lake Worth Road Suite #2 Lake Worth FL 33461 | |
| (561) 439-8440 | |
| (561) 439-8229 |
| Full Name | Central Florida Treatment Center Lake Worth |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3155 Lake Worth Road Suite #2, Lake Worth, Florida |
| Authorized Official Name and Position | Dave Kneessy (REGIONAL DIRECTOR) |
| Authorized Official Contact | 3219519750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Treatment Center Lake Worth 3155 Lake Worth Road Suite #2 Lake Worth FL 33461 Ph: (561) 439-8440 | Central Florida Treatment Center Lake Worth 3155 Lake Worth Road Suite #2 Lake Worth FL 33461 Ph: (561) 439-8440 |
| NPI Number | 1508050147 |
|---|---|
| Provider Enumeration Date | 08/28/2007 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508050147 | NPI | - | NPPES |
| 075363700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0950AD125701 (Florida) | Primary |
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