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Destination Hope
Substance Abuse Rehabilitation Facility in Fort Lauderdale, Florida
NPI 1811192214

Destination Hope is a Substance Abuse Rehabilitation Facility based in Fort Lauderdale, FL. Destination Hope practices in Fort Lauderdale, FL. The NPI Number for Destination Hope is 1811192214 and holds a License No. (Florida).

The current practice location address for Destination Hope is 6460 Nw 5Th Way, Fort Lauderdale, FL and can be reached out via phone at 954-771-2091 and via fax at 954-771-2098. You can also correspond with Destination Hope through the mailing address at 6460 NW 5TH WAY, FORT LAUDERDALE, FL - 33309-6112 (mailing address contact number: 954-771-2091).

Location: 6460 Nw 5Th Way, Fort Lauderdale, FL, 33309-6112
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1811192214
Provider Name
Destination Hope
Credential
Provider Entity Type
Organization
Address
6460 Nw 5Th Way, Fort Lauderdale, FL, 33309-6112
Phone Number
954-771-2091
Fax Number
954-771-2098
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1045136 01 FL DCF IOP
1045135 01 FL DCF OP
1045134 01 FL DCF D/N LIC
institution
Provider Business Practice Location Address Details
Address
6460 Nw 5Th Way
City
Fort Lauderdale
State
Florida
Zip
33309-6112
Phone Number
954-771-2091
Fax Number
954-771-2098
person
Provider Business Mailing Address Details
Address
6460 Nw 5Th Way
City
Fort Lauderdale
State
Florida
Zip
33309-6112
Phone Number
954-771-2091
Fax Number
954-771-2098
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
1706AD588401 (Florida)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
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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