NPI 1689878639

Community Outreach Services

Organisation Substance Abuse Rehabilitation Facility Deland, FL

Practice location

Address: 245 S Amelia Ave, Deland, FL 32724-5913
Phone: (386) 736-0420
Fax: (386) 738-4838

Authorised official

Name: Carl Epley
Title: Intemin Executive Director
Phone: (386) 736-0420

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 1264AD8975-00 (FL)

Other Substance Abuse Rehabilitation Facility providers in Florida →

Registry record

NPI: 1689878639
Entity type: Organization
NPI issued: 13 Jun 2007
Record last updated: 6 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.