Provider Demographics
NPI:1629469549
Name:SUNSPIRE HEALTH HILTON HEAD LLC
Entity Type:Organization
Organization Name:SUNSPIRE HEALTH HILTON HEAD LLC
Other - Org Name:BRITELIFE RECOVERY AT HILTON HEAD
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:TUVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIEDMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-622-3605
Mailing Address - Street 1:180 SYLVAN AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD CLIFFS
Mailing Address - State:NJ
Mailing Address - Zip Code:07632-2519
Mailing Address - Country:US
Mailing Address - Phone:201-464-4040
Mailing Address - Fax:
Practice Address - Street 1:2200 MAIN ST
Practice Address - Street 2:
Practice Address - City:HILTON HEAD ISLAND
Practice Address - State:SC
Practice Address - Zip Code:29926-1667
Practice Address - Country:US
Practice Address - Phone:843-869-8040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-13
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility