NPI | 1699135186 |
---|---|
Doing Business As | EBB TIDE TREATMENT CENTERS |
Entity Type | Organization |
Authorized Contact | JOSEPH KILKENNY DONOVAN CEO 561-508-8330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
324500000X Substance Abuse Rehabilitation Facility | |
Enumeration Date | 2016-02-26 |
Last Update Date | 2023-12-07 |