Provider Demographics
NPI:1154974921
Name:WELLPATH RECOVERY SOLUTIONS, LLC FLORIDA CIVIL COMMITMENT CENTER
Entity type:Organization
Organization Name:WELLPATH RECOVERY SOLUTIONS, LLC FLORIDA CIVIL COMMITMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FACILITY ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:DONALD
Authorized Official - Middle Name:
Authorized Official - Last Name:SAWYER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:863-491-4800
Mailing Address - Street 1:13619 SE HIGHWAY 70
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:FL
Mailing Address - Zip Code:34266-7861
Mailing Address - Country:US
Mailing Address - Phone:863-491-4800
Mailing Address - Fax:
Practice Address - Street 1:13619 SE HIGHWAY 70
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:FL
Practice Address - Zip Code:34266-7861
Practice Address - Country:US
Practice Address - Phone:863-491-4800
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WELLPATH RECOVERY SOLUTIONS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-07-22
Last Update Date:2019-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility