Innovative Treatment Services, Inc. | |
410 Nw 3rd Street Okeechobee FL 34972-4129 | |
(863) 467-5335 | |
(863) 467-5366 |
Full Name | Innovative Treatment Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 410 Nw 3rd Street, Okeechobee, Florida |
Authorized Official Name and Position | Dennis J Hansen (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 5617904177 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Treatment Services, Inc. 410 Nw 3rd St Okeechobee FL 34972-4129 Ph: (863) 467-5335 | Innovative Treatment Services, Inc. 410 Nw 3rd Street Okeechobee FL 34972-4129 Ph: (863) 467-5335 |
NPI Number | 1326213000 |
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Provider Enumeration Date | 04/24/2008 |
Last Update Date | 10/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326213000 | NPI | - | NPPES |
600074888 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | SW3090 (Florida) | Primary |
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