Provider Demographics
NPI:1851634158
Name:SUMMIT DETOX, INC.
Entity Type:Organization
Organization Name:SUMMIT DETOX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHEIF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:FLUXMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-565-5628
Mailing Address - Street 1:PO BOX 732138
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75373-2138
Mailing Address - Country:US
Mailing Address - Phone:561-571-2118
Mailing Address - Fax:
Practice Address - Street 1:3330 S FEDERAL HWY
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33435-8808
Practice Address - Country:US
Practice Address - Phone:561-237-5306
Practice Address - Fax:954-982-6648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-04-04
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility