OrganizationActive
Sunrise Detox Fort Lauderdale Fl, LLC
NPI 1629912001 · Mental Illness Community Based Residential Treatment Facility · Fort Lauderdale, FL
Provider details
- NPI number
- 1629912001
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joel Hersko, Authorized Official(347) 661-0013
Specialties & taxonomies
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
2331 Ne 53rd St
Fort Lauderdale, FL 33308-3235
Phone: (954) 491-9700
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1575
Lakewood, NJ 08701-1018
Registry dates
- Enumerated
- 2026-04-16
- Last updated
- 2026-04-16
- Certified
- 2026-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.