| Florida Treatment For Change Inc | |
|
2180 Maravilla Ln Ste 1 Fort Myers FL 33901-7221 | |
| (239) 202-8993 | |
| Not Available |
| Full Name | Florida Treatment For Change Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 2180 Maravilla Ln Ste 1, Fort Myers, Florida |
| Authorized Official Name and Position | Kari-anne Spiller (PROGRAM DIRECTOR) |
| Authorized Official Contact | 2393338079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Treatment For Change Inc 2917 Ne 4th Pl Cape Coral FL 33909-6804 Ph: (239) 333-8079 | Florida Treatment For Change Inc 2180 Maravilla Ln Ste 1 Fort Myers FL 33901-7221 Ph: (239) 202-8993 |
| NPI Number | 1932674538 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932674538 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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