Provider Demographics
NPI:1497927180
Name:RDJH, INC.
Entity Type:Organization
Organization Name:RDJH, INC.
Other - Org Name:NEW BEGINNINGS DETOX
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:HANSEN
Authorized Official - Suffix:
Authorized Official - Credentials:AA
Authorized Official - Phone:561-790-4177
Mailing Address - Street 1:749 US HIGHWAY 1
Mailing Address - Street 2:SUITE 203A
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408-4400
Mailing Address - Country:US
Mailing Address - Phone:561-790-4177
Mailing Address - Fax:
Practice Address - Street 1:741 US HIGHWAY 1
Practice Address - Street 2:
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33408-4508
Practice Address - Country:US
Practice Address - Phone:561-790-4177
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:NEW BEGINNINGS RECOVERY CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-02
Last Update Date:2016-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPY8296103T00000X
FL1550AD020301261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Multi-Specialty