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The Bougainvilla House, Inc.
Children's Substance Abuse Rehabilitation Facility in Fort Lauderdale, Florida
NPI 1962835488

The Bougainvilla House, Inc. is a Children's Substance Abuse Rehabilitation Facility based in Fort Lauderdale, FL and is specialized in Substance Abuse Treatment, Children. The Bougainvilla House, Inc. practices in Fort Lauderdale, FL. The NPI Number for The Bougainvilla House, Inc. is 1962835488 and holds a License No. (Florida).

The current practice location address for The Bougainvilla House, Inc. is 1727 Se 4Th Ave, Fort Lauderdale, FL and can be reached out via phone at 954-764-7337 and via fax at 954-764-6283. You can also correspond with The Bougainvilla House, Inc. through the mailing address at 1721 SE 4TH AVE, FORT LAUDERDALE, FL - 33316-2515 (mailing address contact number: 954-764-7337).

Location: 1727 Se 4Th Ave, Fort Lauderdale, FL, 33316-2515
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962835488
Provider Name
The Bougainvilla House, Inc.
Credential
Provider Entity Type
Organization
Address
1727 Se 4Th Ave, Fort Lauderdale, FL, 33316-2515
Phone Number
954-764-7337
Fax Number
954-764-6283
Provider Enumeration Date
08/20/2013
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
013497000 05 FL
institution
Provider Business Practice Location Address Details
Address
1727 Se 4Th Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2515
Phone Number
954-764-7337
Fax Number
954-764-6283
person
Provider Business Mailing Address Details
Address
1721 Se 4Th Ave
City
Fort Lauderdale
State
Florida
Zip
33316-2515
Phone Number
954-764-7337
Fax Number
954-764-6283
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
1706AD094501 (Florida)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
1706AD094501 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
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.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
Substance Abuse Treatment, Children
Taxonomy
3245S0500X
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 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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