Provider Demographics
NPI:1003285065
Name:RELIANCE TREATMENT CENTERS, LLC
Entity Type:Organization
Organization Name:RELIANCE TREATMENT CENTERS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MYLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-845-0600
Mailing Address - Street 1:742 US HIGHWAY 1
Mailing Address - Street 2:SUITE 110
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4410
Mailing Address - Country:US
Mailing Address - Phone:561-303-0883
Mailing Address - Fax:561-303-0373
Practice Address - Street 1:742 US HIGHWAY 1
Practice Address - Street 2:SUITE 110
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4410
Practice Address - Country:US
Practice Address - Phone:561-845-0600
Practice Address - Fax:561-845-6333
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5001261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder