Midwest Detox

LBN: Ambrosia South Llc
Midwest Detox is an health care organization with primary practice located at 2010 Ponce De Leon Ave Units A And H, West Palm Beach FL 33407. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Ambrosia South Llc can be contacted via phone (561) 578-8600, or through Mckenzie, Reesa via phone (561) 545-1083.

Contact Information

Primary practice address
2010 Ponce De Leon Ave Units A And H West Palm Beach FL 33407
Phone: (561) 578-8600
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Mckenzie, Reesa
Phone: (561) 545-1083

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1669774485
LBN Legal business name Ambrosia South Llc
DBA Doing business as Midwest Detox
Authorized official Mckenzie, Reesa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 30th, 2010
Last updated Jul 21st, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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