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NPI 1578911541 · Substance Use Disorder Rehabilitation Clinic/Center · Daytona, FL
Provider details
- NPI number
- 1578911541
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Young, Ceo(386) 333-9622
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
724 South Beach Street
Suite 3
Daytona, FL 32114
Phone: (386) 437-0235
Street-level locationGet directions
Mailing address
4721 E Moody Blvd
Bunnell, FL 32110-7705
Other names (DBA / former)
- Doing business as
- Break the Cycle
- Doing business as
- Break the Cycle
Registry dates
- Enumerated
- 2016-05-31
- Last updated
- 2023-06-22
- Certified
- 2023-06-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.