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Treless Ivey
Children's Substance Abuse Rehabilitation Facility in Lake City, Florida
NPI 1285047472

Treless Ivey is a Children's Substance Abuse Rehabilitation Facility based in Live Oak, FL and is specialized in Substance Abuse Treatment, Children. Treless Ivey practices in Lake City, FL. The NPI Number for Treless Ivey is 1285047472 and holds a License No. (Florida).

The current practice location address for Treless Ivey is 439 Sw Michigan St, Lake City, FL and can be reached out via phone at 352-374-5600.

Location: 439 Sw Michigan St, Lake City, FL, 32064-0051
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285047472
Provider Name
Treless Ivey
Credential
Provider Entity Type
Individual
Gender
Female
Address
439 Sw Michigan St, Lake City, FL, 32064-0051
Phone Number
352-374-5600
Fax Number
Provider Enumeration Date
06/05/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
439 Sw Michigan St
City
Lake City
State
Florida
Zip
32025-0440
Phone Number
352-374-5600
Fax Number
person
Provider Business Mailing Address Details
Address
439 Sw Michigan St
City
Lake City
State
Florida
Zip
32025-0440
Phone Number
352-374-5600
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
License No.
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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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
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