Provider Demographics
NPI:1841929940
Name:SD HEALTH HOLDINGS
Entity type:Organization
Organization Name:SD HEALTH HOLDINGS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ERIC
Authorized Official - Middle Name:
Authorized Official - Last Name:LEON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-641-5366
Mailing Address - Street 1:3471 N FEDERAL HWY STE 410
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33306-1050
Mailing Address - Country:US
Mailing Address - Phone:954-641-5366
Mailing Address - Fax:954-306-3886
Practice Address - Street 1:5935 JOEL LN
Practice Address - Street 2:
Practice Address - City:LA MESA
Practice Address - State:CA
Practice Address - Zip Code:91942-4101
Practice Address - Country:US
Practice Address - Phone:954-641-5366
Practice Address - Fax:954-306-3886
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SD HEALTH HOLDINGS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility