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Intrepid Detox Residential Llc
Substance Abuse Rehabilitation Facility in Mangonia Park, Florida
NPI 1275176497

Intrepid Detox Residential Llc is a Substance Abuse Rehabilitation Facility based in Mangonia Park, FL. Intrepid Detox Residential Llc practices in Mangonia Park, FL. The NPI Number for Intrepid Detox Residential Llc is 1275176497 and holds a License No. (Florida).

The current practice location address for Intrepid Detox Residential Llc is 1120 48Th St, Mangonia Park, FL and can be reached out via phone at 866-871-5111.

Location: 1120 48Th St, Mangonia Park, FL, 33407-2302
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275176497
Provider Name
Intrepid Detox Residential Llc
Credential
Provider Entity Type
Organization
Address
1120 48Th St, Mangonia Park, FL, 33407-2302
Phone Number
866-871-5111
Fax Number
Provider Enumeration Date
10/21/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1120 48Th St
City
Mangonia Park
State
Florida
Zip
33407-2302
Phone Number
866-871-5111
Fax Number
person
Provider Business Mailing Address Details
Address
1120 48Th St
City
Mangonia Park
State
Florida
Zip
33407-2302
Phone Number
866-871-5111
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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