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MIDWEST DETOX
NPI 1669774485
Substance Abuse Rehabilitation Facility in West Palm Beach, FL

Active since November 30, 2010CLIA Certified · 2 labs
2010 PONCE DE LEON AVE, UNITS A AND H, WEST PALM BEACH, FL 33407(561) 578-8600 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Midwest Detox NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIDWEST DETOX (NPI 1669774485) is a healthcare organization registered as a substance abuse rehabilitation facility in West Palm Beach, Florida and active in the NPI registry since November 2010. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in West Palm Beach, and lists Reesa Mckenzie, Cfo, as its authorized official.

NPPES Registry Identity

NPI1669774485
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameAMBROSIA SOUTH LLC
Location Address2010 PONCE DE LEON AVE, UNITS A AND HWest Palm Beach, FL 33407
Mailing Address222 Picadilly StWest Palm Beach, FL 33407-6017
Phone(561) 578-8600
Organization SubpartNo
Authorized OfficialReesa MckenzieCfo · (561) 545-1083
Enumeration DateNovember 30, 2010
Last NPPES UpdateJuly 21, 2022
NPPES CertifiedJuly 21, 2022
✔ NPI 1669774485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
2010 PONCE DE LEON AVE, West Palm Beach, FL 33407
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Other Names 1

Doing Business AsMidwest Detox

Secondary Practice Location 1

Location 1222 Picadilly StWest Palm Beach, FL 33407-6017 · Phone (561) 598-6966

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2199845

Ambrosia South LLC Dba Ambrosia Treatment Center · West Palm Beach, FL
Active · expires Nov 10, 2026
CLIA Number10D2199845
Laboratory TypeSubstance Abuse Center
Certificate Effective DateNovember 11, 2024
Certificate Expiration DateNovember 10, 2026
Laboratory DirectorDanesh Alam
Laboratory Phone(561) 578-8600
Laboratory LocationAmbrosia South LLC Dba Ambrosia Treatment Center2010 Ponce De Leon Avenue, West Palm Beach, FL 33407
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 10D2035093

Ambrosia South LLC Dba Ambrosia Treatment Center · West Palm Beach, FL
Active · expires Jan 10, 2028
CLIA Number10D2035093
Laboratory TypeSubstance Abuse Center
Certificate Effective DateJanuary 11, 2026
Certificate Expiration DateJanuary 10, 2028
Laboratory DirectorDanesh Alam
Laboratory Phone(561) 721-8800
Laboratory LocationAmbrosia South LLC Dba Ambrosia Treatment Center222 Picadilly St, West Palm Beach, FL 33407
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PBL MEDICAL LLC
Clinical Medical Laboratory
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407
Palm Beach County (561) 748-2889
MIDWEST DETOX AT AMBROSIA LLC MIDWEST DETOX
Substance Abuse Rehabilitation Facility
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407
Palm Beach County (561) 578-8585
NEUROSCIENCE RESEARCH INSTITUTE OF FLORIDA, LLC
Substance Abuse Rehabilitation Facility
2010 PONCE DE LEON AVE
WEST PALM BEACH, FL 33407
Palm Beach County (561) 578-8585

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ambrosia South LLC's NPI number?

The NPI number for Ambrosia South LLC is 1669774485. It was assigned to this organization in the NPPES registry on November 30, 2010. The provider is doing business as Midwest Detox.

Where is Ambrosia South LLC located?

Ambrosia South LLC is located at 2010 Ponce De Leon Ave Units A And H, West Palm Beach, FL 33407. The listed phone number is (561) 578-8600.

What is Ambrosia South LLC's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does Ambrosia South LLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Ambrosia South LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.