Provider Demographics
NPI:1679006027
Name:TREATMENT RESOURCES OF MARGATE, LLC
Entity Type:Organization
Organization Name:TREATMENT RESOURCES OF MARGATE, LLC
Other - Org Name:ATRIUM WELLNESS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:VICE PRESIDENT -ADMINISTRATIVE DIR.
Authorized Official - Prefix:
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:MICHAEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-289-0398
Mailing Address - Street 1:8301 W MCNAB RD
Mailing Address - Street 2:
Mailing Address - City:TAMARAC
Mailing Address - State:FL
Mailing Address - Zip Code:33321-3206
Mailing Address - Country:US
Mailing Address - Phone:954-256-8210
Mailing Address - Fax:
Practice Address - Street 1:8301 W MCNAB RD
Practice Address - Street 2:
Practice Address - City:TAMARAC
Practice Address - State:FL
Practice Address - Zip Code:33321-3206
Practice Address - Country:US
Practice Address - Phone:954-256-8210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SATORI WATERS LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-04
Last Update Date:2017-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility