Intrepid Detox Residential LLC
Intrepid Detox Residential LLC is a Substance Abuse Rehabilitation Facility in Mangonia Park, Florida. Registered with an NPI since 2019.
- In the registry since
- 2019
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
1120 48th StMangonia Park, FL 33407-2302
Phone: (866) 871-5111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Substance Abuse Rehabilitation Facility (primary) | Taxonomy 324500000X |
|---|
Record details
| NPI number | 1275176497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Nash — Owner · (866) 871-5111 |
| NPI enumerated | October 21, 2019 |
| Last updated in NPPES | February 11, 2020 |
| Certification date | February 11, 2020 |
| Mailing address | 1120 48th St, Mangonia Park, FL 33407-2302 |