NPI | 1023611233 |
---|---|
Doing Business As | WHITESANDS ALCOHOL & DRUG REHAB LAKELAND |
Entity Type | Organization |
Authorized Contact | DAVID LEE HATTON Authorized Official 786-373-8899 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2020-11-19 |
Last Update Date | 2023-03-21 |