Provider Demographics
NPI:1134588213
Name:PURE THOUGHTS AT TURTLE CREEK
Entity type:Organization
Organization Name:PURE THOUGHTS AT TURTLE CREEK
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:DARLENE
Authorized Official - Middle Name:M
Authorized Official - Last Name:FRISINA
Authorized Official - Suffix:
Authorized Official - Credentials:BS,CAC
Authorized Official - Phone:561-512-9273
Mailing Address - Street 1:4348 145TH AVE N
Mailing Address - Street 2:
Mailing Address - City:LOXAHATCHEE
Mailing Address - State:FL
Mailing Address - Zip Code:33470-4673
Mailing Address - Country:US
Mailing Address - Phone:561-512-9273
Mailing Address - Fax:
Practice Address - Street 1:4348 145TH AVE N
Practice Address - Street 2:
Practice Address - City:LOXAHATCHEE
Practice Address - State:FL
Practice Address - Zip Code:33470-4673
Practice Address - Country:US
Practice Address - Phone:561-512-9273
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-17
Last Update Date:2016-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder