Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC...

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Licensed Substance Abuse Provider Components as of March 3, 2020 City Service Provider Legal Name Region Circuit Component Component ID License Number Federal Employer ID Site ID Physical Address Zipcode County Phone Expiration Date Funding Type Licensed Bed Capacity Accredited License State Alford Chemical Addictions Recovery Effort, Inc Northwest C14 Residential Level 2 COMP-023682 LIC-1045701 59-2912345 SITE-00004562 2388 Park Avenue 32404 Jackson (850) 872-7676 5/7/2020 Public 15 Yes Regular Alford Chemical Addictions Recovery Effort, Inc Northwest C14 Residential Level 4 COMP-023681 LIC-1045704 59-2912345 SITE-00004562 2388 Park Avenue 32404 Jackson (850) 872-7676 5/7/2020 Public 15 Yes Regular Altamonte Springs Management Consulting Services Central C18 Outpatient Treatment COMP-025281 LIC-1046821 26-4886146 SITE-00003647 307 Cranes Roost Blvd, Suite 1018 32701 Seminole (407) 260-8533 10/23/2020 Private 0 No Regular Altoona Palm Beach Recovery, LLC Central C05 Day or Night Treatment COMP-023569 LIC-1046224 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 0 Yes Regular Altoona Palm Beach Recovery, LLC Central C05 Inpatient Detoxification COMP-025988 LIC-1045309 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 10 Yes Regular Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Public 0 Yes Regular Altoona Palm Beach Recovery, LLC Central C05 Residential Level 1 COMP-023567 LIC-1045308 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 10 Yes Regular Apalachicola Apalachee Center, Inc. Northwest C02 Case Management COMP-024245 LIC-1046109 59-1162148 SITE-00001473 159 12th Street 32320 Franklin (850) 523-3333 5/12/2020 Public 0 Yes Regular Apalachicola Avalon Treatment Centers, Inc. Northwest C02 Aftercare COMP-025236 LIC-1046778 37-1840060 SITE-00004825 78 Eleventh Street 32320 Franklin (850) 727-8738 7/23/2020 Private 0 No Regular Apalachicola Avalon Treatment Centers, Inc. Northwest C02 Outpatient Treatment COMP-025237 LIC-1046809 37-1840060 SITE-00004825 78 Eleventh Street 32320 Franklin (850) 727-8738 7/23/2020 Private 0 No Regular Apopka AMIkids Behavioral Health, Inc. Central C09 Outpatient Treatment COMP-026297 LIC-1047069 59-2661387 SITE-00004949 1461 South Lake Pleasant Rd. 32704 Orange (813) 887-3300 4/1/2020 Public 0 No Interim Apopka Central Florida Recovery Centers, Inc. Central C09 Day or Night Treatment COMP-025583 LIC-1046774 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular Apopka Central Florida Recovery Centers, Inc. Central C09 Inpatient Detoxification COMP-025584 LIC-1046772 04-3664565 SITE-00004533 1124 S Park Ave 32703 Orange (407) 370-9783 10/17/2020 Private 10 Yes Regular Apopka Central Florida Recovery Centers, Inc. Central C09 Intensive Outpatient Treatment COMP-025585 LIC-1046770 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular Apopka Central Florida Recovery Centers, Inc. Central C09 Outpatient Detoxification COMP-025587 LIC-1046771 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular Apopka Central Florida Recovery Centers, Inc. Central C09 Outpatient Treatment COMP-025588 LIC-1046773 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular Apopka Central Florida Recovery Centers, Inc. Central C09 Residential Level 1 COMP-025586 LIC-1046769 04-3664565 SITE-00004533 1124 S Park Ave 32703 Orange (407) 370-9783 10/17/2020 Private 30 Yes Regular Apopka My Freedom Quest, Inc. Central C09 Intensive Outpatient Treatment COMP-024331 LIC-1046034 45-0534515 SITE-00002434 235 W. Main Street 32703 Orange (407) 786-1913 4/30/2020 Private 0 No Regular Apopka South Eastern Counseling Center, Inc. Central C09 Outpatient Treatment COMP-024736 LIC-1046208 47-3782925 SITE-00002316 324 South Central Avenue 32703 Orange (407) 599-2073 5/19/2020 Private 0 No Regular APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.) Central C09 Aftercare COMP-026061 LIC-1046989 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703- 7622 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.) Central C09 Case Management COMP-026060 LIC-1046987 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703- 7622 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.) Central C09 Outpatient Treatment COMP-026055 LIC-1046986 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703- 7622 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.) Central C09 Residential Level 2 COMP-026063 LIC-1047019 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703- 7622 Orange (407) 522-2144 11/19/2020 Private 48 Yes Regular APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.) Central C09 Residential Level 4 COMP-026062 LIC-1047020 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703- 7622 Orange (407) 522-2144 11/19/2020 Private 4 Yes Regular Arcadia Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-025230 LIC-1046209 59-1009537 SITE-00005236 126 N Hillsborough Ave 34266 DeSoto (941) 782-4710 7/28/2020 Private 0 Yes Regular Arcadia Charlotte Behavioral Health Care, Inc Suncoast C12 Case Management COMP-025286 LIC-1046564 59-1234922 SITE-00004623 811 N. Mills Ave. 34266 DeSoto (941) 639-8300 10/30/2020 Public 0 Yes Regular Arcadia Charlotte Behavioral Health Care, Inc Suncoast C12 Outpatient Treatment COMP-025287 LIC-1045886 59-1234922 SITE-00004623 811 N. Mills Ave. 34266 DeSoto (941) 639-8300 10/30/2020 Public 0 Yes Regular Arcadia Department of Corrections, Bureau of Substance Abuse Program Services Suncoast C12 Intensive Outpatient Treatment COMP-025088 LIC-1046556 59-2869774 SITE-00004994 13617 S.E. Highway 70 34266- 7800 DeSoto (850) 717-3060 10/13/2020 Public 0 No Regular Source: PLADS Page 1 of 95

Transcript of Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC...

Page 1: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License StateAlford Chemical Addictions Recovery Effort,

IncNorthwest C14 Residential Level 2 COMP-023682 LIC-1045701 59-2912345 SITE-00004562 2388 Park Avenue 32404 Jackson (850) 872-7676 5/7/2020 Public 15 Yes Regular

Alford Chemical Addictions Recovery Effort, Inc

Northwest C14 Residential Level 4 COMP-023681 LIC-1045704 59-2912345 SITE-00004562 2388 Park Avenue 32404 Jackson (850) 872-7676 5/7/2020 Public 15 Yes Regular

Altamonte Springs Management Consulting Services Central C18 Outpatient Treatment COMP-025281 LIC-1046821 26-4886146 SITE-00003647 307 Cranes Roost Blvd, Suite 1018 32701 Seminole (407) 260-8533 10/23/2020 Private 0 No Regular

Altoona Palm Beach Recovery, LLC Central C05 Day or Night Treatment COMP-023569 LIC-1046224 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 0 Yes RegularAltoona Palm Beach Recovery, LLC Central C05 Inpatient Detoxification COMP-025988 LIC-1045309 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 10 Yes RegularAltoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Public 0 Yes RegularAltoona Palm Beach Recovery, LLC Central C05 Residential Level 1 COMP-023567 LIC-1045308 81-3914459 SITE-00005052 18307 Boys Ranch Road 32702 Lake (561) 833-7553 9/29/2020 Private 10 Yes RegularApalachicola Apalachee Center, Inc. Northwest C02 Case Management COMP-024245 LIC-1046109 59-1162148 SITE-00001473 159 12th Street 32320 Franklin (850) 523-3333 5/12/2020 Public 0 Yes RegularApalachicola Avalon Treatment Centers, Inc. Northwest C02 Aftercare COMP-025236 LIC-1046778 37-1840060 SITE-00004825 78 Eleventh Street 32320 Franklin (850) 727-8738 7/23/2020 Private 0 No RegularApalachicola Avalon Treatment Centers, Inc. Northwest C02 Outpatient Treatment COMP-025237 LIC-1046809 37-1840060 SITE-00004825 78 Eleventh Street 32320 Franklin (850) 727-8738 7/23/2020 Private 0 No RegularApopka AMIkids Behavioral Health, Inc. Central C09 Outpatient Treatment COMP-026297 LIC-1047069 59-2661387 SITE-00004949 1461 South Lake Pleasant Rd. 32704 Orange (813) 887-3300 4/1/2020 Public 0 No InterimApopka Central Florida Recovery Centers, Inc. Central C09 Day or Night Treatment COMP-025583 LIC-1046774 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

Apopka Central Florida Recovery Centers, Inc. Central C09 Inpatient Detoxification COMP-025584 LIC-1046772 04-3664565 SITE-00004533 1124 S Park Ave 32703 Orange (407) 370-9783 10/17/2020 Private 10 Yes Regular

Apopka Central Florida Recovery Centers, Inc. Central C09 Intensive Outpatient Treatment COMP-025585 LIC-1046770 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

Apopka Central Florida Recovery Centers, Inc. Central C09 Outpatient Detoxification COMP-025587 LIC-1046771 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

Apopka Central Florida Recovery Centers, Inc. Central C09 Outpatient Treatment COMP-025588 LIC-1046773 04-3664565 SITE-00004534 1120 S. Park Avenue 32703 Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

Apopka Central Florida Recovery Centers, Inc. Central C09 Residential Level 1 COMP-025586 LIC-1046769 04-3664565 SITE-00004533 1124 S Park Ave 32703 Orange (407) 370-9783 10/17/2020 Private 30 Yes Regular

Apopka My Freedom Quest, Inc. Central C09 Intensive Outpatient Treatment COMP-024331 LIC-1046034 45-0534515 SITE-00002434 235 W. Main Street 32703 Orange (407) 786-1913 4/30/2020 Private 0 No RegularApopka South Eastern Counseling Center, Inc. Central C09 Outpatient Treatment COMP-024736 LIC-1046208 47-3782925 SITE-00002316 324 South Central Avenue 32703 Orange (407) 599-2073 5/19/2020 Private 0 No Regular

APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Aftercare COMP-026061 LIC-1046989 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703-7622

Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Case Management COMP-026060 LIC-1046987 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703-7622

Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Outpatient Treatment COMP-026055 LIC-1046986 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703-7622

Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Residential Level 2 COMP-026063 LIC-1047019 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703-7622

Orange (407) 522-2144 11/19/2020 Private 48 Yes Regular

APOPKA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Residential Level 4 COMP-026062 LIC-1047020 63-0836930 SITE-00002711 1991 APOPKA BLVD 32703-7622

Orange (407) 522-2144 11/19/2020 Private 4 Yes Regular

Arcadia Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-025230 LIC-1046209 59-1009537 SITE-00005236 126 N Hillsborough Ave 34266 DeSoto (941) 782-4710 7/28/2020 Private 0 Yes RegularArcadia Charlotte Behavioral Health Care, Inc Suncoast C12 Case Management COMP-025286 LIC-1046564 59-1234922 SITE-00004623 811 N. Mills Ave. 34266 DeSoto (941) 639-8300 10/30/2020 Public 0 Yes Regular

Arcadia Charlotte Behavioral Health Care, Inc Suncoast C12 Outpatient Treatment COMP-025287 LIC-1045886 59-1234922 SITE-00004623 811 N. Mills Ave. 34266 DeSoto (941) 639-8300 10/30/2020 Public 0 Yes Regular

Arcadia Department of Corrections, Bureau of Substance Abuse Program Services

Suncoast C12 Intensive Outpatient Treatment COMP-025088 LIC-1046556 59-2869774 SITE-00004994 13617 S.E. Highway 70 34266-7800

DeSoto (850) 717-3060 10/13/2020 Public 0 No Regular

Source: PLADS Page 1 of 95

Page 2: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

ARCADIA First Step of Sarasota, Inc. Suncoast C12 Aftercare COMP-024089 LIC-1046101 59-1304472 SITE-00001558 10 E OAK ST 34266-4423

DeSoto (941) 366-5333 6/30/2020 Public 0 Yes Regular

ARCADIA First Step of Sarasota, Inc. Suncoast C12 General Intervention COMP-024091 LIC-1046089 59-1304472 SITE-00001558 10 E OAK ST 34266-4423

DeSoto (941) 366-5333 6/30/2020 Public 0 Yes Regular

ARCADIA First Step of Sarasota, Inc. Suncoast C12 Level 1 Prevention COMP-024092 LIC-1046087 59-1304472 SITE-00001558 10 E OAK ST 34266-4423

DeSoto (941) 366-5333 6/30/2020 Public 0 Yes Regular

ARCADIA First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024090 LIC-1046090 59-1304472 SITE-00001558 10 E OAK ST 34266-4423

DeSoto (941) 366-5333 6/30/2020 Public 0 Yes Regular

Atlantis The Recovery Research Network Southeast C15 Outpatient Treatment COMP-027022 LIC-1045608 81-1886840 SITE-00003552 110 J.F.K. Drive 33462 Palm Beach

(561) 812-2000 5/21/2020 Private 0 Yes Interim

Atlantis The Treatment Center by The Recovery Village, LLC

Southeast C15 Day or Night Treatment COMP-026419 LIC-1047254 83-1918740 SITE-00005192 5841 South Congress Avenue 33462 Palm Beach

(754) 300-3120 12/7/2020 Private 0 Yes Regular

Atlantis The Treatment Center by The Recovery Village, LLC

Southeast C15 Intensive Outpatient Treatment COMP-026420 LIC-1047251 83-1918740 SITE-00005192 5841 South Congress Avenue 33462 Palm Beach

(754) 300-3120 12/7/2020 Private 0 Yes Regular

Atlantis The Treatment Center by The Recovery Village, LLC

Southeast C15 Outpatient Treatment COMP-026421 LIC-1047256 83-1918740 SITE-00005192 5841 South Congress Avenue 33462 Palm Beach

(754) 300-3120 12/7/2020 Private 0 Yes Regular

AUBURNDALE Bridges of Florida, Inc. Central C10 Residential Level 2 COMP-025821 LIC-1047063 46-4672119 SITE-00000456 602 MELTON AVE 33823-4428

Polk (407) 218-4800 12/19/2020 Public 91 Yes Regular

Aventura KING DAVID FOUNDATION, INC. Southern C11 General Intervention COMP-024264 LIC-1046150 03-0400216 SITE-00003225 17971 Biscayne Boulevard #117 33160 Dade (305) 935-6726 6/11/2020 Public 0 Yes RegularAventura KING DAVID FOUNDATION, INC. Southern C11 Level 1 Prevention COMP-024265 LIC-1046149 03-0400216 SITE-00003225 17971 Biscayne Boulevard #117 33160 Dade (305) 935-6726 6/11/2020 Public 0 Yes RegularAventura KING DAVID FOUNDATION, INC. Southern C11 Level 2 Prevention COMP-024266 LIC-1046148 03-0400216 SITE-00003225 17971 Biscayne Boulevard #117 33160 Dade (305) 935-6726 6/11/2020 Public 0 Yes RegularAventura KING DAVID FOUNDATION, INC. Southern C11 Outpatient Treatment COMP-024263 LIC-1046147 03-0400216 SITE-00003225 17971 Biscayne Boulevard #117 33160 Dade (305) 935-6726 6/11/2020 Public 0 Yes RegularAvon Park Gateway Foundation, Inc. Central C10 Intensive Outpatient Treatment COMP-026486 LIC-1046307 36-2670036 SITE-00005334 8100 County Road 64 E 33825 Highlands (312) 663-1130 3/19/2020 Public 0 No Probationary

Avon Park Gateway Foundation, Inc. Central C10 Outpatient Treatment COMP-027091 LIC-1046306 36-2670036 SITE-00005334 8100 County Road 64 E 33825 Highlands (312) 663-1130 5/5/2020 Public 0 No Probationary

Avon Park Tri-County Human Services, Inc. Central C10 Aftercare COMP-025510 LIC-1046570 59-1708182 SITE-00002860 100 West College Drive 33825 Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

AVON PARK Tri-County Human Services, Inc. Central C10 Aftercare COMP-025475 LIC-1046570 59-1708182 SITE-00003508 100 W COLLEGE DR 33825-9348

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

AVON PARK Tri-County Human Services, Inc. Central C10 Case Management COMP-025477 LIC-1046576 59-1708182 SITE-00003508 100 W COLLEGE DR 33825-9348

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

AVON PARK Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025482 LIC-1046571 59-1708182 SITE-00003508 100 W COLLEGE DR 33825-9348

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

Avon Park Tri-County Human Services, Inc. Central C10 Residential Level 2 COMP-025509 LIC-1046575 59-1708182 SITE-00002860 100 West College Drive 33825 Highlands (863) 709-9392 9/26/2020 Public 55 Yes Regular

Avon Park Tri-County Human Services, Inc. Central C10 Residential Level 3 COMP-025508 LIC-1046574 59-1708182 SITE-00002860 100 West College Drive 33825 Highlands (863) 709-9392 9/26/2020 Public 15 Yes Regular

Bartow Agency for Community Treatment Services, Inc.

Central C10 General Intervention COMP-023078 LIC-1045471 59-1860626 SITE-00000584 1090 Hwy 17 South 33830 Polk (813) 246-4899 3/12/2020 Public 0 Yes Regular

Bartow Agency for Community Treatment Services, Inc.

Central C10 Level 1 Prevention COMP-023079 LIC-1045472 59-1860626 SITE-00000584 1090 Hwy 17 South 33830 Polk (813) 246-4899 3/12/2020 Public 0 Yes Regular

BARTOW Peace River Center for Personal Development, Inc.

Central C10 Intensive Outpatient Treatment COMP-022801 LIC-1045436 59-0818924 SITE-00002506 1255 GOLFVIEW AVE 33830-6736

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

BARTOW Peace River Center for Personal Development, Inc.

Central C10 Outpatient Treatment COMP-022800 LIC-1045122 59-0818924 SITE-00002506 1255 GOLFVIEW AVE 33830-6736

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

Bartow Polk County Drug Court Central C10 General Intervention COMP-026436 LIC-1045402 59-6000809 SITE-00002809 225 North Broadway 33830 Polk (863) 534-4612 5/21/2020 Public 0 No InterimBartow Polk County Drug Court Central C10 Outpatient Treatment COMP-026426 LIC-1045401 59-6000809 SITE-00002809 225 North Broadway 33830 Polk (863) 534-4612 5/21/2020 Public 0 No InterimBARTOW Transition House, Inc. Central C10 Aftercare COMP-025411 LIC-1045891 59-3208913 SITE-00003322 550 N RESTWOOD AVE 33830-

4200Polk (407) 892-5700 9/30/2020 Public 0 Yes Regular

Source: PLADS Page 2 of 95

Page 3: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

BARTOW Transition House, Inc. Central C10 General Intervention COMP-025412 LIC-1046761 59-3208913 SITE-00003322 550 N RESTWOOD AVE 33830-4200

Polk (407) 892-5700 9/30/2020 Public 0 Yes Regular

BARTOW Transition House, Inc. Central C10 Outpatient Treatment COMP-025410 LIC-1045129 59-3208913 SITE-00003322 550 N RESTWOOD AVE 33830-4200

Polk (407) 892-5700 9/30/2020 Public 0 Yes Regular

Bartow Tri-County Human Services, Inc. Central C10 Aftercare COMP-025474 LIC-1046570 59-1708182 SITE-00002501 1255 Gunn Hwy 33830 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularBARTOW Tri-County Human Services, Inc. Central C10 Aftercare COMP-025504 LIC-1046570 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-

8872Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

Bartow Tri-County Human Services, Inc. Central C10 Case Management COMP-025517 LIC-1046576 59-1708182 SITE-00002501 1255 Gunn Hwy 33830 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularBARTOW Tri-County Human Services, Inc. Central C10 Case Management COMP-025502 LIC-1046576 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-

8872Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

BARTOW Tri-County Human Services, Inc. Central C10 Case Management COMP-025486 LIC-1046576 59-1708182 SITE-00003493 1055 US HIGHWAY 17 N 33830-7646

Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

BARTOW Tri-County Human Services, Inc. Central C10 Inpatient Detoxification COMP-025505 LIC-1046573 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-8872

Polk (863) 709-9392 9/26/2020 Public 20 Yes Regular

Bartow Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025465 LIC-1046571 59-1708182 SITE-00002501 1255 Gunn Hwy 33830 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularBARTOW Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025500 LIC-1046571 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-

8872Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

Bartow Tri-County Human Services, Inc. Central C10 Residential Level 2 COMP-025491 LIC-1046575 59-1708182 SITE-00002501 1255 Gunn Hwy 33830 Polk (863) 709-9392 9/26/2020 Public 35 Yes RegularBARTOW Tri-County Human Services, Inc. Central C10 Residential Level 2 COMP-025501 LIC-1046575 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-

8872Polk (863) 709-9392 9/26/2020 Public 15 Yes Regular

Bartow Tri-County Human Services, Inc. Central C10 Residential Level 3 COMP-025489 LIC-1046574 59-1708182 SITE-00002501 1255 Gunn Hwy 33830 Polk (863) 709-9392 9/26/2020 Public 5 Yes RegularBARTOW Tri-County Human Services, Inc. Central C10 Residential Level 3 COMP-025506 LIC-1046574 59-1708182 SITE-00002827 2725 HIGHWAY 60 E 33830-

8872Polk (863) 709-9392 9/26/2020 Public 7 Yes Regular

Bartow TrueCore Behavioral Solutions, LLC Central C10 Outpatient Treatment COMP-023345 LIC-1045557 54-1859903 SITE-00001808 2415 Bob Phillips Road 33830 Polk (813) 514-6275 4/7/2020 Public 0 No RegularBartow TrueCore Behavioral Solutions, LLC Central C10 Outpatient Treatment COMP-023350 LIC-1045557 54-1859903 SITE-00002966 2145 Bob Phillips Road 33830 Polk (813) 514-6275 4/7/2020 Public 0 Yes RegularBelle Glade Crossing Bridges of the Palm Beaches Southeast C15 Intensive Outpatient Treatment COMP-024442 LIC-1047088 47-3912059 SITE-00004792 1100 North Main Street 33430 Palm

Beach(561) 983-8588 4/27/2020 Public 0 No Regular

Belle Glade Crossing Bridges of the Palm Beaches Southeast C15 Outpatient Treatment COMP-024443 LIC-1047087 47-3912059 SITE-00004792 1100 North Main Street 33430 Palm Beach

(561) 983-8588 4/27/2020 Public 0 No Regular

Belle Glade The Recovery Research Network Southeast C15 Outpatient Treatment COMP-025742 LIC-1045608 81-1886840 SITE-00005270 38811 James Wheeler Way 33430 Palm Beach

(561) 812-2000 9/7/2020 Private 0 No Regular

Blountstown Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024691 LIC-1046376 59-1375195 SITE-00001603 16869 North Pear Street 32424 Calhoun (850) 522-4485 7/30/2020 Public 0 Yes Regular

BOCA RATON Boca RI LLC Southeast C15 Inpatient Detoxification COMP-023605 LIC-1045759 81-5056602 SITE-00003863 1000 NW 15TH ST 33486-1331

Palm Beach

(954) 533-7705 5/2/2020 Private 32 Yes Regular

BOCA RATON Boca RI LLC Southeast C15 Residential Level 1 COMP-023606 LIC-1045758 81-5056602 SITE-00003863 1000 NW 15TH ST 33486-1331

Palm Beach

(954) 533-7705 5/2/2020 Private 22 Yes Regular

BOCA RATON Bowling Green Inn of Pensacola, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-025153 LIC-1046503 65-0404739 SITE-00003605 7940 N FEDERAL HWY STE 120 33487-1679

Palm Beach

(561) 995-7388 9/26/2020 Private 0 Yes Regular

BOCA RATON Bowling Green Inn of Pensacola, Inc. Southeast C15 Intensive Outpatient Treatment COMP-025152 LIC-1046509 65-0404739 SITE-00003605 7940 N FEDERAL HWY STE 120 33487-1679

Palm Beach

(561) 995-7388 9/26/2020 Private 0 Yes Regular

Boca Raton Caron of Florida, Inc. Southeast C15 Aftercare COMP-023520 LIC-1045876 59-2500657 SITE-00003934 7781/7789 Northwest Beacon Square Boulevard

33487 Palm Beach

(800) 678-2332 5/20/2020 Private 0 Yes Regular

Boca Raton Caron of Florida, Inc. Southeast C15 Day or Night Treatment COMP-023506 LIC-1045875 59-2500657 SITE-00003934 7781/7789 Northwest Beacon Square Boulevard

33487 Palm Beach

(800) 678-2332 5/20/2020 Private 0 Yes Regular

Boca Raton Caron of Florida, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-023241 LIC-1045879 59-2500657 SITE-00003934 7781/7789 Northwest Beacon Square Boulevard

33487 Palm Beach

(800) 678-2332 5/20/2020 Private 0 Yes Regular

Boca Raton Caron of Florida, Inc. Southeast C15 Intensive Outpatient Treatment COMP-023507 LIC-1045878 59-2500657 SITE-00003934 7781/7789 Northwest Beacon Square Boulevard

33487 Palm Beach

(800) 678-2332 5/20/2020 Private 0 Yes Regular

Boca Raton Caron of Florida, Inc. Southeast C15 Outpatient Treatment COMP-023519 LIC-1045877 59-2500657 SITE-00003934 7781/7789 Northwest Beacon Square Boulevard

33487 Palm Beach

(800) 678-2332 5/20/2020 Private 0 Yes Regular

Source: PLADS Page 3 of 95

Page 4: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Boca Raton Florida Family Care, Inc. Southeast C15 Outpatient Treatment COMP-026339 LIC-1046382 42-1574745 SITE-00001882 7100 W. Camino Real, Suite 302 33433 Palm Beach

(954) 421-0494 5/11/2020 Private 0 No Probationary

Boca Raton Florida ReachLink, LLC Southeast C15 Intensive Outpatient Treatment COMP-024633 LIC-1047205 83-4146651 SITE-00005176 3651 FAU Boulevard 33431 Palm Beach

(833) 732-2489 5/28/2020 Private 0 Yes Regular

Boca Raton Florida ReachLink, LLC Southeast C15 Outpatient Treatment COMP-024634 LIC-1047208 83-4146651 SITE-00005176 3651 FAU Boulevard 33431 Palm Beach

(833) 732-2489 5/28/2020 Private 0 Yes Regular

BOCA RATON Medicus Health Plan, Inc. Southeast C15 Outpatient Detoxification COMP-024706 LIC-1045637 20-2568952 SITE-00003043 9980 CENTRAL PARK BLVD N 33428-1703

Palm Beach

(561) 893-0651 7/3/2020 Private 0 No Regular

BOCA RATON Sober Investments, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025082 LIC-1046694 81-1664876 SITE-00004383 21301 POWERLINE RD 33433-2305

Palm Beach

(609) 202-5669 5/21/2020 Private 0 Yes Regular

BOCA RATON Sober Investments, LLC Southeast C15 Intensive Outpatient Treatment COMP-025084 LIC-1046511 81-1664876 SITE-00004383 21301 POWERLINE RD 33433-2305

Palm Beach

(609) 202-5669 5/21/2020 Private 0 Yes Regular

BOCA RATON Sober Investments, LLC Southeast C15 Outpatient Treatment COMP-025083 LIC-1046510 81-1664876 SITE-00004383 21301 POWERLINE RD 33433-2305

Palm Beach

(609) 202-5669 5/21/2020 Private 0 Yes Regular

Boca Raton Sunlight Recovery, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-024536 LIC-1046080 20-2976354 SITE-00002717 900 Glades Road 33431 Palm Beach

(954) 422-6242 7/11/2020 Private 14 Yes Regular

Boca Raton Sunlight Recovery, Inc. Southeast C15 Inpatient Detoxification COMP-024529 LIC-1046078 20-2976354 SITE-00002717 900 Glades Road 33431 Palm Beach

(954) 422-6242 7/11/2020 Private 10 Yes Regular

Boca Raton Sunlight Recovery, Inc. Southeast C15 Intensive Outpatient Treatment COMP-024538 LIC-1046081 20-2976354 SITE-00002717 900 Glades Road 33431 Palm Beach

(954) 422-6242 7/11/2020 Private 0 Yes Regular

Boca Raton Sunlight Recovery, Inc. Southeast C15 Residential Level 1 COMP-024530 LIC-1046077 20-2976354 SITE-00002717 900 Glades Road 33431 Palm Beach

(954) 422-6242 7/11/2020 Private 4 Yes Regular

Boca Raton The Detox Center II, LLC Southeast C15 Inpatient Detoxification COMP-023913 LIC-1046345 82-4186089 SITE-00004780 1401 NW 9th Ave 33486 Palm Beach

(561) 609-1550 6/26/2020 Private 16 Yes Regular

Boca Raton The Detox Center II, LLC Southeast C15 Residential Level 1 COMP-024016 LIC-1046344 82-4186089 SITE-00004780 1401 NW 9th Ave 33486 Palm Beach

(561) 609-1550 6/26/2020 Private 23 Yes Regular

Bonifay Chemical Addictions Recovery Effort, Inc

Northwest C14 Aftercare COMP-023892 LIC-1045710 59-2912345 SITE-00002044 103 East Montana 32425 Holmes (850) 872-7676 5/7/2020 Public 0 Yes Regular

Bonifay Chemical Addictions Recovery Effort, Inc

Northwest C14 General Intervention COMP-023891 LIC-1045702 59-2912345 SITE-00002044 103 East Montana 32425 Holmes (850) 872-7676 5/7/2020 Public 0 Yes Regular

Bonifay Chemical Addictions Recovery Effort, Inc

Northwest C14 Outpatient Treatment COMP-023893 LIC-1045693 59-2912345 SITE-00002044 103 East Montana 32425 Holmes (850) 872-7676 5/7/2020 Public 0 Yes Regular

Bonifay Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024694 LIC-1046376 59-1375195 SITE-00001591 801 South Weeks Street 32425 Holmes (850) 522-4485 7/30/2020 Public 0 Yes Regular

Bonifay Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024690 LIC-1046376 59-1375195 SITE-00001606 310 Byrd Street 32425 Holmes (850) 522-4485 7/30/2020 Public 0 Yes Regular

Boynton Beach AISOL LLC Southeast C15 Day or Night Treatment COMP-025909 LIC-1047043 46-4861193 SITE-00004718 4875 Park Ridge Blvd. 33426 Palm Beach

(561) 413-5755 12/18/2020 Private 0 Yes Regular

Boynton Beach AISOL LLC Southeast C15 Intensive Outpatient Treatment COMP-025910 LIC-1047044 46-4861193 SITE-00004718 4875 Park Ridge Blvd. 33426 Palm Beach

(561) 413-5755 12/18/2020 Private 0 Yes Regular

Boynton Beach AISOL LLC Southeast C15 Outpatient Treatment COMP-025912 LIC-1047045 46-4861193 SITE-00004718 4875 Park Ridge Blvd. 33426 Palm Beach

(561) 413-5755 12/18/2020 Private 0 Yes Regular

Boynton Beach Bright Futures Boynton Beach LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-026766 LIC-1045565 47-1544396 SITE-00000612 2320 S. Seacrest Blvd. 33435 Palm Beach

(561) 518-7950 4/27/2020 Private 0 Yes Interim

Boynton Beach Bright Futures Boynton Beach LLC Southeast C15 Intensive Outpatient Treatment COMP-026769 LIC-1045564 47-1544396 SITE-00000612 2320 S. Seacrest Blvd. 33435 Palm Beach

(561) 518-7950 4/27/2020 Private 0 Yes Interim

Boynton Beach Bright Futures Boynton Beach LLC Southeast C15 Outpatient Treatment COMP-026767 LIC-1045566 47-1544396 SITE-00000612 2320 S. Seacrest Blvd. 33435 Palm Beach

(561) 518-7950 4/27/2020 Private 0 Yes Interim

Boynton Beach COMPASS HEALTH SYSTEMS, P.A. Southeast C15 Outpatient Treatment COMP-024375 LIC-1046158 65-0199979 SITE-00003630 10301 Hagen Ranch Road 33319 Palm Beach

(305) 891-0050 6/15/2020 Private 0 No Regular

Source: PLADS Page 4 of 95

Page 5: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Boynton Beach Emerge Recovery Center Southeast C15 Day or Night Treatment with Community Housing

COMP-025376 LIC-1047153 81-3071668 SITE-00003180 1105 N. Federal Highway 33435 Palm Beach

(561) 810-6201 11/26/2020 Private 0 Yes Regular

Boynton Beach Emerge Recovery Center Southeast C15 Intensive Outpatient Treatment COMP-025377 LIC-1046931 81-3071668 SITE-00003180 1105 N. Federal Highway 33435 Palm Beach

(561) 810-6201 11/26/2020 Private 0 Yes Regular

Boynton Beach Emerge Recovery Center Southeast C15 Outpatient Treatment COMP-025378 LIC-1046932 81-3071668 SITE-00003180 1105 N. Federal Highway 33435 Palm Beach

(561) 810-6201 11/26/2020 Private 0 Yes Regular

Boynton Beach Florida Family Care, Inc. Southeast C15 Outpatient Treatment COMP-026337 LIC-1046382 42-1574745 SITE-00000334 2755 South Federal Highway, Suite 3 33435 Palm Beach

(954) 421-0494 5/11/2020 Private 0 No Probationary

Boynton Beach Horses Healing Hearts, Inc. Southeast C15 Level 1 Prevention COMP-026378 LIC-1047405 27-1386140 SITE-00005297 2300 High Ridge Rd. 33426 Palm Beach

5/27/2020 Public 0 No Probationary

Boynton Beach Immersion Residential, LLC Southeast C15 Inpatient Detoxification COMP-024773 LIC-1047201 83-1683575 SITE-00005026 900 N. Congress Avenue 33426 Palm Beach

(561) 274-6133 3/11/2020 Private 20 No Regular

Boynton Beach Immersion Residential, LLC Southeast C15 Residential Level 1 COMP-023248 LIC-1047138 83-1683575 SITE-00005026 900 N. Congress Avenue 33426 Palm Beach

(561) 274-6133 3/11/2020 Private 44 No Regular

Boynton Beach Lifeskills South Florida Outpatient, LLC Southeast C15 Intensive Outpatient Treatment COMP-024575 LIC-1046302 45-3536330 SITE-00004717 236 SE 23rd Ave 33435 Palm Beach

(954) 834-5099 5/30/2020 Private 0 Yes Regular

Boynton Beach Lifeskills South Florida Outpatient, LLC Southeast C15 Outpatient Treatment COMP-024574 LIC-1046165 45-3536330 SITE-00004717 236 SE 23rd Ave 33435 Palm Beach

(954) 834-5099 5/30/2020 Private 0 Yes Regular

BOYNTON BEACH Lighthouse Recovery Institute, Inc. Southeast C15 Day or Night Treatment COMP-025006 LIC-1046453 46-3768398 SITE-00003085 1609 S CONGRESS AVE 33426-6543

Palm Beach

(561) 381-0015 10/17/2020 Private 0 Yes Regular

BOYNTON BEACH Lighthouse Recovery Institute, Inc. Southeast C15 Intensive Outpatient Treatment COMP-025004 LIC-1046455 46-3768398 SITE-00003085 1609 S CONGRESS AVE 33426-6543

Palm Beach

(561) 381-0015 10/17/2020 Private 0 Yes Regular

BOYNTON BEACH Lighthouse Recovery Institute, Inc. Southeast C15 Outpatient Treatment COMP-025005 LIC-1046454 46-3768398 SITE-00003085 1609 S CONGRESS AVE 33426-6543

Palm Beach

(561) 381-0015 10/17/2020 Private 0 Yes Regular

Boynton Beach Recreate Life Counseling Services, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025456 LIC-1045327 47-5308541 SITE-00004675 3652 S. Seacrest Boulevard 33435 Palm Beach

(561) 914-6030 8/7/2020 Private 0 No Regular

Boynton Beach Recreate Life Counseling Services, LLC Southeast C15 Intensive Outpatient Treatment COMP-025451 LIC-1045328 47-5308541 SITE-00004675 3652 S. Seacrest Boulevard 33435 Palm Beach

(561) 914-6030 8/7/2020 Private 0 No Regular

Boynton Beach Recreate Life Counseling Services, LLC Southeast C15 Outpatient Treatment COMP-025452 LIC-1045329 47-5308541 SITE-00004675 3652 S. Seacrest Boulevard 33435 Palm Beach

(561) 914-6030 8/7/2020 Private 0 No Regular

Boynton Beach Seacrest Recovery Center, LLC Southeast C15 Day or Night Treatment COMP-025251 LIC-1047292 47-3645267 SITE-00001391 638 East Ocean Avenue 33435 Palm Beach

(800) 411-8019 8/24/2020 Private 0 Yes Regular

Boynton Beach Seacrest Recovery Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025233 LIC-1046601 47-3645267 SITE-00001391 638 East Ocean Avenue 33435 Palm Beach

(800) 411-8019 8/24/2020 Private 0 Yes Regular

Boynton Beach Seacrest Recovery Center, LLC Southeast C15 Outpatient Treatment COMP-025232 LIC-1046619 47-3645267 SITE-00001391 638 East Ocean Avenue 33435 Palm Beach

(800) 411-8019 8/24/2020 Private 0 Yes Regular

Boynton Beach Summit Detox, Inc. Southeast C15 Inpatient Detoxification COMP-025745 LIC-1045079 46-1831894 SITE-00002942 3330 South Federal Highway, 3rd Floor 33435 Palm Beach

(561) 336-3783 9/3/2020 Private 20 Yes Regular

Boynton Beach The Beachcomber Rehabilitation, Inc. Southeast C15 Intensive Outpatient Treatment COMP-025752 LIC-1045140 59-1696573 SITE-00000644 115 West Woolbright Road 33435 Palm Beach

(561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

Boynton Beach The Beachcomber Rehabilitation, Inc. Southeast C15 Outpatient Treatment COMP-025753 LIC-1045139 59-1696573 SITE-00000644 115 West Woolbright Road 33435 Palm Beach

(561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

Bradenton Bridges of Florida, Inc. Suncoast C12 Aftercare COMP-025822 LIC-1046005 46-4672119 SITE-00004603 2104 63rd Ave. E. 32808-5613

Manatee (407) 218-4800 12/19/2020 Public 0 Yes Regular

Bradenton Bridges of Florida, Inc. Suncoast C12 General Intervention COMP-025823 LIC-1046010 46-4672119 SITE-00004603 2104 63rd Ave. E. 32808-5613

Manatee (407) 218-4800 12/19/2020 Public 0 Yes Regular

Bradenton Bridges of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-025824 LIC-1046006 46-4672119 SITE-00004603 2104 63rd Ave. E. 32808-5613

Manatee (407) 218-4800 12/19/2020 Public 0 Yes Regular

Bradenton Camelot Community Care, Inc. Suncoast C12 Outpatient Treatment COMP-024173 LIC-1047152 31-1659302 SITE-00004890 1803 Fifth Street West 34205 Manatee (727) 593-0003 4/1/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 Addictions Receiving Facility COMP-024800 LIC-1046211 59-1009537 SITE-00004176 Centerstone of Florida (crisis center)- 2020

26TH AVE EAST34208 Manatee (941) 782-4710 7/28/2020 Public 23 Yes Regular

Source: PLADS Page 5 of 95

Page 6: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

BRADENTON Centerstone of Florida, Inc. Suncoast C12 Day or Night Treatment COMP-024786 LIC-1046277 59-1009537 SITE-00001248 2020 26TH AVE E 34208-7753

Manatee (941) 782-4710 7/28/2020 Public 0 Yes Regular

Bradenton Centerstone of Florida, Inc. Suncoast C12 General Intervention COMP-024794 LIC-1046276 59-1009537 SITE-00001246 379 6th Avenue West 34205 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 General Intervention COMP-024790 LIC-1046276 59-1009537 SITE-00001248 2020 26TH AVE E 34208-

7753Manatee (941) 782-4710 7/28/2020 Public 0 Yes Regular

Bradenton Centerstone of Florida, Inc. Suncoast C12 General Intervention COMP-024784 LIC-1046276 59-1009537 SITE-00002698 2703 19th St Ct E 34208 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 Intensive Outpatient Treatment COMP-024782 LIC-1046210 59-1009537 SITE-00001248 2020 26TH AVE E 34208-

7753Manatee (941) 782-4710 7/28/2020 Private 0 Yes Regular

Bradenton Centerstone of Florida, Inc. Suncoast C12 Level 1 Prevention COMP-024797 LIC-1046273 59-1009537 SITE-00001246 379 6th Avenue West 34205 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBradenton Centerstone of Florida, Inc. Suncoast C12 Level 2 Prevention COMP-024796 LIC-1046274 59-1009537 SITE-00001246 379 6th Avenue West 34205 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 Outpatient Detoxification COMP-024785 LIC-1046278 59-1009537 SITE-00001248 2020 26TH AVE E 34208-

7753Manatee (941) 782-4710 7/28/2020 Public 0 Yes Regular

Bradenton Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-024793 LIC-1046209 59-1009537 SITE-00001236 1051 Manatee Ave. West 34206 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-024791 LIC-1046209 59-1009537 SITE-00001248 2020 26TH AVE E 34208-

7753Manatee (941) 782-4710 7/28/2020 Public 0 Yes Regular

Bradenton Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-024792 LIC-1046209 59-1009537 SITE-00002698 2703 19th St Ct E 34208 Manatee (941) 782-4710 7/28/2020 Public 0 Yes RegularBRADENTON Centerstone of Florida, Inc. Suncoast C12 Residential Level 2 COMP-024789 LIC-1046275 59-1009537 SITE-00001248 2020 26TH AVE E 34208-

7753Manatee (941) 782-4710 7/28/2020 Public 30 Yes Regular

BRADENTON Hanley Center Foundation Inc Suncoast C12 Level 1 Prevention COMP-024093 LIC-1045481 20-2871945 SITE-00000278 2501 63RD AVE E 34203-5053

Manatee (561) 268-2350 6/30/2020 Public 0 Yes Regular

Bradenton Manatee County Girls Clubs, Inc. Suncoast C12 Level 1 Prevention COMP-024069 LIC-1045849 59-1271332 SITE-00000796 3809 59th Street West 34209 Manatee (941) 747-5757 5/24/2020 Public 0 No RegularBradenton Manatee County Girls Clubs, Inc. Suncoast C12 Level 1 Prevention COMP-024068 LIC-1045849 59-1271332 SITE-00000799 1011 21st St. E. 34208 Manatee (941) 747-5757 5/24/2020 Public 0 No RegularBradenton Manatee County Substance Abuse

Prevention Coalition,Inc.Suncoast C12 Level 1 Prevention COMP-025199 LIC-1046310 27-1254684 SITE-00002826 1112 Manatee Ave. W. Manatee Co. Gov.

Adm.Center34205 Manatee (941) 749-3030 9/8/2020 Public 0 No Regular

BRADENTON Operation PAR, Inc. Suncoast C12 Medication and Methadone Maintenance Treatment

COMP-025396 LIC-1046664 59-1349234 SITE-00001703 6253 14TH ST W 34207-4611

Manatee (727) 545-7564 12/1/2020 Public 0 Yes Regular

BRADENTON Operation PAR, Inc. Suncoast C12 Outpatient Methadone Detoxification COMP-025395 LIC-1046665 59-1349234 SITE-00001703 6253 14TH ST W 34207-4611

Manatee (727) 545-7564 12/1/2020 Public 0 Yes Regular

BRADENTON PACE Center for Girls, Inc. Suncoast C12 Level 1 Prevention COMP-024222 LIC-1045495 59-2414492 SITE-00000926 3508 26TH ST W 34205-3502

Manatee (904) 448-8002 6/6/2020 Public 0 No Regular

BRADENTON PACE Center for Girls, Inc. Suncoast C12 Level 2 Prevention COMP-024223 LIC-1045494 59-2414492 SITE-00000926 3508 26TH ST W 34205-3502

Manatee (904) 448-8002 6/6/2020 Public 0 No Regular

Brandon New Life 360, Inc. Suncoast C13 Aftercare COMP-026640 LIC-1047383 83-1086521 SITE-00004962 1047 E. Brandon Blvd. 33511 Hillsborough

(813) 548-1166 4/27/2020 Private 0 No Probationary

Brandon New Life 360, Inc. Suncoast C13 Intensive Outpatient Treatment COMP-026581 LIC-1047384 83-1086521 SITE-00004962 1047 E. Brandon Blvd. 33511 Hillsborough

(813) 548-1166 4/27/2020 Private 0 No Probationary

Brandon New Life 360, Inc. Suncoast C13 Outpatient Treatment COMP-026641 LIC-1047382 83-1086521 SITE-00004962 1047 E. Brandon Blvd. 33511 Hillsborough

(813) 548-1166 4/27/2020 Private 0 No Probationary

BRANDON Phoenix Programs of Florida, Inc. Suncoast C13 Intensive Outpatient Treatment COMP-025717 LIC-1046775 59-3172948 SITE-00001379 510 VONDERBURG DR 33511-6072

Hillsborough

(813) 881-1000 11/3/2020 Public 0 Yes Regular

BRANDON Phoenix Programs of Florida, Inc. Suncoast C13 Outpatient Treatment COMP-025728 LIC-1046776 59-3172948 SITE-00001379 510 VONDERBURG DR 33511-6072

Hillsborough

(813) 881-1000 11/3/2020 Public 0 Yes Regular

Brandon Psychological Management Group, P.A. Suncoast C13 Aftercare COMP-024806 LIC-1046264 65-0305008 SITE-00000011 207 East Robertson Street 33511 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Brandon Psychological Management Group, P.A. Suncoast C13 Outpatient Treatment COMP-024805 LIC-1046258 65-0305008 SITE-00000011 207 East Robertson Street 33511 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Brandon White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-024976 LIC-1045400 81-3488022 SITE-00004876 1316 E Lumsden Rd. 33511 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Brandon White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-026625 LIC-1045400 81-3488022 SITE-00004876 1316 E Lumsden Rd. 33511 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Source: PLADS Page 6 of 95

Page 7: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Brandon White Sands Treatment Center Tampa, LLC

Suncoast C13 Outpatient Treatment COMP-023875 LIC-1046607 81-3488022 SITE-00004876 1316 E Lumsden Rd. 33511 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Brandon White Sands Treatment Center Tampa, LLC

Suncoast C13 Outpatient Treatment COMP-026626 LIC-1046607 81-3488022 SITE-00004876 1316 E Lumsden Rd. 33511 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Bristol Apalachee Center, Inc. Northwest C02 Case Management COMP-024246 LIC-1046109 59-1162148 SITE-00003610 13888 Northwest County Road 12 32321 Liberty (850) 523-3333 5/12/2020 Private 0 Yes RegularBrooksville BayCare Behavioral Health, Inc. Central C05 Case Management COMP-024562 LIC-1045856 59-1371752 SITE-00002735 15311 Cortez Blvd. 34613 Hernando (727) 841-4200 6/18/2020 Public 0 Yes Regular

Brooksville BayCare Behavioral Health, Inc. Central C05 Level 1 Prevention COMP-024516 LIC-1045855 59-1371752 SITE-00002735 15311 Cortez Blvd. 34613 Hernando (727) 841-4200 6/18/2020 Public 0 Yes Regular

Brooksville BayCare Behavioral Health, Inc. Central C05 Outpatient Treatment COMP-024563 LIC-1045854 59-1371752 SITE-00002735 15311 Cortez Blvd. 34613 Hernando (727) 841-4200 6/18/2020 Public 0 Yes Regular

Brooksville Sober Solutions Counseling, Inc. Central C05 Outpatient Treatment COMP-024999 LIC-1046358 45-2932083 SITE-00004528 630 W Jefferson Street 34601 Hernando (727) 372-2010 8/15/2020 Public 0 No Regular

Brooksville Solace Health and Wellness Center LLC Central C05 Intensive Outpatient Treatment COMP-026012 LIC-1047335 84-2235097 SITE-00005291 8449 Cobb Road 34653 Hernando (352) 678-5550 11/11/2020 Private 0 No Regular

Brooksville Solace Health and Wellness Center LLC Central C05 Outpatient Treatment COMP-026013 LIC-1047336 84-2235097 SITE-00005291 8449 Cobb Road 34653 Hernando (352) 678-5550 11/11/2020 Private 0 No Regular

BROOKSVILLE Western Judicial Services, Inc. Central C05 Aftercare COMP-025551 LIC-1045924 59-3443592 SITE-00002171 610 W JEFFERSON ST 34601-2528

Hernando (321) 868-4066 10/13/2020 Public 0 No Regular

BROOKSVILLE Western Judicial Services, Inc. Central C05 Outpatient Treatment COMP-025548 LIC-1045925 59-3443592 SITE-00002171 610 W JEFFERSON ST 34601-2528

Hernando (321) 868-4066 10/13/2020 Public 0 No Regular

Brooksville Youth Opportunity Investments LLC Central C05 Outpatient Treatment COMP-024957 LIC-1045556 27-0972875 SITE-00004869 201 Culbreath Rd 34602 Hernando (727) 800-3511 x41102

4/1/2020 Public 0 Yes Regular

Bunnell ABM Counseling Center LLC Northeast C07 Intensive Outpatient Treatment COMP-026257 LIC-1047041 83-2582308 SITE-00004963 4750 E Moody Blvd. 32110 Flagler (386) 338-8013 12/18/2020 Private 0 No Regular

Bunnell ABM Counseling Center LLC Northeast C07 Outpatient Treatment COMP-026261 LIC-1047040 83-2582308 SITE-00004963 4750 E Moody Blvd. 32110 Flagler (386) 338-8013 12/18/2020 Private 0 No Regular

Bunnell Chance 2 Change Northeast C07 Aftercare COMP-025942 LIC-1045195 46-2755887 SITE-00002447 4721 E. Moody Blvd 32110 Flagler (386) 437-0026 11/4/2020 Private 0 Yes RegularBunnell Chance 2 Change Northeast C07 Intensive Outpatient Treatment COMP-026100 LIC-1045254 46-2755887 SITE-00002447 4721 E. Moody Blvd 32110 Flagler (386) 437-0026 11/4/2020 Private 0 Yes RegularBunnell Chance 2 Change Northeast C07 Outpatient Treatment COMP-025944 LIC-1045207 46-2755887 SITE-00002447 4721 E. Moody Blvd 32110 Flagler (386) 437-0026 11/4/2020 Private 0 Yes RegularBunnell Hearthstone Fellowship Foundation,

Inc.Northeast C07 Aftercare COMP-024364 LIC-1047171 59-3710711 SITE-00004545 2405 E. Moody Blvd 32110 Flagler (386) 238-1348 4/20/2020 Private 0 No Regular

Bunnell Hearthstone Fellowship Foundation, Inc.

Northeast C07 Aftercare COMP-026081 LIC-1047171 59-3710711 SITE-00004545 2405 E. Moody Blvd 32110 Flagler (386) 238-1348 1/3/2021 Private 0 No Regular

Bunnell Hearthstone Fellowship Foundation, Inc.

Northeast C07 Outpatient Treatment COMP-026082 LIC-1045225 59-3710711 SITE-00004545 2405 E. Moody Blvd 32110 Flagler (386) 238-1348 1/3/2021 Private 0 No Regular

Bunnell SMA Healthcare, Inc. Northeast C07 Level 1 Prevention COMP-025901 LIC-1046894 59-0976866 SITE-00003223 301 Justice Lane 32110 Flagler (386) 236-1804 11/30/2020 Public 0 Yes Regular

Bunnell SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025900 LIC-1046889 59-0976866 SITE-00003223 301 Justice Lane 32110 Flagler (386) 236-1804 11/30/2020 Public 0 Yes Regular

Bunnell SMA Healthcare, Inc. Northeast C07 Residential Level 1 COMP-025902 LIC-1047102 59-0976866 SITE-00003223 301 Justice Lane 32110 Flagler (386) 236-1804 11/30/2020 Public 10 Yes Regular

Bunnell SMA Healthcare, Inc. Northeast C07 Residential Level 2 COMP-025903 LIC-1046893 59-0976866 SITE-00003223 301 Justice Lane 32110 Flagler (386) 236-1804 11/30/2020 Public 70 Yes Regular

Bushnell LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025095 LIC-1046334 59-1561501 SITE-00002109 119 North Market Street 33513 Sumter (352) 315-7500 9/19/2020 Public 0 Yes RegularBushnell LifeStream Behavioral Center Central C05 Treatment Alternatives for Safer

CommunitiesCOMP-025096 LIC-1046531 59-1561501 SITE-00002109 119 North Market Street 33513 Sumter (352) 315-7500 9/19/2020 Public 0 Yes Regular

CANTONMENT Metro Treatment of Florida, LP Northwest C01 Medication And Methadone Maintenance Treatment

COMP-024771 LIC-1045386 58-2341219 SITE-00001269 2420 S HIGHWAY 29 32533-5808

Escambia (407) 351-7080 8/3/2020 Private 0 Yes Regular

Cape Coral SalusCare, Inc. Suncoast C20 Case Management COMP-023924 LIC-1045824 59-1287693 SITE-00002284 1105 Cultural Park Blvd. 33904 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularCape Coral SalusCare, Inc. Suncoast C20 Outpatient Treatment COMP-023925 LIC-1045822 59-1287693 SITE-00002284 1105 Cultural Park Blvd. 33904 Lee (239) 275-3222 6/29/2020 Public 0 Yes Regular

Source: PLADS Page 7 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Casselberry Aspire Health Partners, Inc. Central C18 Case Management COMP-023723 LIC-1045900 59-2301233 SITE-00000831 96 Plumosa Avenue 32707 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 General Intervention COMP-023688 LIC-1045873 59-2301233 SITE-00000937 237 Fernwood Blvd 32730 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 Intensive Outpatient Treatment COMP-023684 LIC-1045798 59-2301233 SITE-00000937 237 Fernwood Blvd 32730 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 Level 1 Prevention COMP-024036 LIC-1045910 59-2301233 SITE-00000937 237 Fernwood Blvd 32730 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 Level 2 Prevention COMP-023685 LIC-1045857 59-2301233 SITE-00000937 237 Fernwood Blvd 32730 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 Outpatient Treatment COMP-023687 LIC-1045858 59-2301233 SITE-00000937 237 Fernwood Blvd 32730 Seminole (407) 875-3700 5/23/2020 Public 0 Yes RegularCasselberry Aspire Health Partners, Inc. Central C18 Residential Level 3 COMP-023722 LIC-1045915 59-2301233 SITE-00000831 96 Plumosa Avenue 32707 Seminole (407) 875-3700 5/23/2020 Public 15 Yes RegularCasselberry Turning Point of Central Florida Central C18 Intensive Outpatient Treatment COMP-022986 LIC-1045626 59-3344663 SITE-00002350 2256 Winter Woods Blvd 32792 Seminole (407) 740-5655 3/3/2020 Public 0 No RegularCasselberry Turning Point of Central Florida Central C18 Outpatient Treatment COMP-022987 LIC-1045625 59-3344663 SITE-00002350 2256 Winter Woods Blvd 32792 Seminole (407) 740-5655 3/3/2020 Public 0 No RegularCentury Gateway Foundation, Inc. Northwest C01 Intensive Outpatient Treatment COMP-024667 LIC-1046307 36-2670036 SITE-00004785 400 Tedder Road 60604 Escambia (312) 663-1130 5/11/2020 Public 0 No RegularCentury Gateway Foundation, Inc. Northwest C01 Outpatient Treatment COMP-024668 LIC-1046306 36-2670036 SITE-00004785 400 Tedder Road 60604 Escambia (312) 663-1130 5/11/2020 Public 0 No RegularCentury LAKEVIEW CENTER, INC. Northwest C01 Medication And Methadone

Maintenance TreatmentCOMP-023761 LIC-1045629 59-0737872 SITE-00002528 6021-A Industrial Blvd 32535 Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

Chiefland Meridian Behavioral Health Care, Inc. Northeast C08 General Intervention COMP-021772 LIC-1045524 59-1906214 SITE-00004843 103 NE 1st Street 32626 Levy (352) 374-5600 3/28/2020 Public 0 Yes Regular

Chiefland Meridian Behavioral Health Care, Inc. Northeast C08 Intensive Outpatient Treatment COMP-023063 LIC-1045515 59-1906214 SITE-00004843 103 NE 1st Street 32626 Levy (352) 374-5600 3/28/2020 Public 0 Yes Regular

Chiefland Meridian Behavioral Health Care, Inc. Northeast C08 Level 1 Prevention COMP-023062 LIC-1045517 59-1906214 SITE-00004843 103 NE 1st Street 32626 Levy (352) 374-5600 3/28/2020 Public 0 Yes Regular

Chiefland Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023061 LIC-1045518 59-1906214 SITE-00004843 103 NE 1st Street 32626 Levy (352) 374-5600 3/28/2020 Public 0 Yes Regular

Chipley Gateway Foundation, Inc. Northwest C14 Intensive Outpatient Treatment COMP-024670 LIC-1046307 36-2670036 SITE-00004788 4455 Sam Mitchell Drive 32428 Washington

(312) 663-1130 5/11/2020 Public 0 No Regular

Chipley Gateway Foundation, Inc. Northwest C14 Outpatient Treatment COMP-024671 LIC-1046306 36-2670036 SITE-00004788 4455 Sam Mitchell Drive 32428 Washington

(312) 663-1130 5/11/2020 Public 0 No Regular

Citra Phoenix Programs of Florida, Inc. Central C05 Day or Night Treatment COMP-025719 LIC-1046792 59-3172948 SITE-00002137 15681 N. Hwy 301 32113 Marion (813) 881-1000 11/3/2020 Public 0 Yes RegularCitra Phoenix Programs of Florida, Inc. Central C05 Residential Level 2 COMP-025727 LIC-1046794 59-3172948 SITE-00002137 15681 N. Hwy 301 32113 Marion (813) 881-1000 11/3/2020 Public 200 Yes RegularCitra Phoenix Programs of Florida, Inc. Central C05 Residential Level 4 COMP-025653 LIC-1046793 59-3172948 SITE-00002137 15681 N. Hwy 301 32113 Marion (813) 881-1000 11/3/2020 Public 100 Yes RegularCitrus Springs Eckerd Youth Alternatives, Inc. Central C05 Level 1 Prevention COMP-023261 LIC-1045100 59-2551416 SITE-00004639 150 W Citrus Springs Blvd 34434 Citrus (727) 461-2990 4/4/2020 Private 0 Yes RegularCitrus Springs Eckerd Youth Alternatives, Inc. Central C05 Level 2 Prevention COMP-023262 LIC-1045734 59-2551416 SITE-00004639 150 W Citrus Springs Blvd 34434 Citrus (727) 461-2990 4/4/2020 Private 0 Yes RegularCLEARWATER 211 Tampa Bay Cares, Inc. Suncoast C06 Level 1 Prevention COMP-025275 LIC-1046807 59-3355555 SITE-00001719 14155 58TH ST N STE 211 33760-

3725Pinellas (727) 888-5211 11/24/2020 Public 0 No Regular

Clearwater Behavioral Health Management Services, Inc.

Suncoast C06 Intensive Outpatient Treatment COMP-024836 LIC-1046412 59-3279573 SITE-00001348 1106 Druid Rd S 33756 Pinellas (727) 841-4200 8/29/2020 Private 0 Yes Regular

Clearwater Behavioral Health Management Services, Inc.

Suncoast C06 Outpatient Treatment COMP-024835 LIC-1046411 59-3279573 SITE-00001348 1106 Druid Rd S 33756 Pinellas (727) 841-4200 8/29/2020 Private 0 Yes Regular

Clearwater Behavioral Health Management Services, Inc.

Suncoast C06 Outpatient Treatment COMP-025683 LIC-1046411 59-3279573 SITE-00005183 3251 North McMullen Booth Rd 34653 Pinellas (727) 841-4200 8/29/2020 Private 0 Yes Regular

Clearwater Camelot Community Care, Inc. Suncoast C06 Outpatient Treatment COMP-024014 LIC-1047152 31-1659302 SITE-00004893 5255 140th Avenue North 33760 Pinellas (727) 593-0003 3/18/2020 Public 0 Yes InterimClearwater CURAPARR Corporation Suncoast C06 Outpatient Treatment COMP-024047 LIC-1045809 20-0221678 SITE-00002194 50 South Belcher Road 33756 Pinellas (813) 944-2215 5/22/2020 Private 0 No RegularClearwater Directions for Mental Health, Inc. Suncoast C06 Aftercare COMP-026295 LIC-1045417 59-2092715 SITE-00000170 1437 S Belcher Rd 33764 Pinellas (727) 524-4464 1/29/2021 Public 0 No RegularClearwater Directions for Mental Health, Inc. Suncoast C06 Outpatient Treatment COMP-026377 LIC-1045405 59-2092715 SITE-00000170 1437 S Belcher Rd 33764 Pinellas (727) 524-4464 1/29/2021 Public 0 Yes RegularCLEARWATER Fairwinds Treatment Center Suncoast C06 Day or Night Treatment COMP-025992 LIC-1045150 59-2811797 SITE-00000163 1569 S FORT HARRISON AVE 33756-

2004Pinellas (727) 449-0300 12/28/2020 Private 0 Yes Regular

CLEARWATER Fairwinds Treatment Center Suncoast C06 Inpatient Detoxification COMP-025993 LIC-1045149 59-2811797 SITE-00000163 1569 S FORT HARRISON AVE 33756-2004

Pinellas (727) 449-0300 12/28/2020 Private 6 Yes Regular

CLEARWATER Fairwinds Treatment Center Suncoast C06 Intensive Outpatient Treatment COMP-025991 LIC-1045148 59-2811797 SITE-00000163 1569 S FORT HARRISON AVE 33756-2004

Pinellas (727) 449-0300 12/28/2020 Private 0 Yes Regular

CLEARWATER Fairwinds Treatment Center Suncoast C06 Residential Level 1 COMP-025896 LIC-1045147 59-2811797 SITE-00000163 1569 S FORT HARRISON AVE 33756-2004

Pinellas (727) 449-0300 12/28/2020 Private 26 Yes Regular

Source: PLADS Page 8 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

CLEARWATER Family Resources, Inc. Suncoast C06 Level 1 Prevention COMP-026222 LIC-1047357 23-7146873 SITE-00003756 1615 UNION ST 33755-1363

Pinellas (727) 521-5200 3/18/2020 Public 0 Yes Probationary

CLEARWATER Gulf Coast Jewish Family and Community Services, Inc

Suncoast C06 General Intervention COMP-022983 LIC-1045354 59-1229354 SITE-00000356 14041 ICOT BLVD 33760-3702

Pinellas (727) 479-1800 3/4/2020 Public 0 No Regular

CLEARWATER Gulf Coast Jewish Family and Community Services, Inc

Suncoast C06 Level 1 Prevention COMP-022982 LIC-1045353 59-1229354 SITE-00000356 14041 ICOT BLVD 33760-3702

Pinellas (727) 479-1800 3/4/2020 Public 0 No Regular

CLEARWATER Hal Bishop, LCSW, PA Suncoast C06 Outpatient Treatment COMP-025650 LIC-1046630 59-3645499 SITE-00003659 2014 DREW ST 33765-3134

Pinellas (727) 347-3284 10/11/2020 Private 0 No Regular

Clearwater Lakeside Clinic LLC Suncoast C06 Medication And Methadone Maintenance Treatment

COMP-023505 LIC-1045729 47-5239718 SITE-00001840 13700 58th St N 33760 Pinellas (402) 339-1436 5/3/2020 Private 0 Yes Regular

Clearwater Metropolitan Charities, Inc. Suncoast C06 Outpatient Treatment COMP-024958 LIC-1046339 59-3153947 SITE-00002729 2349 Sunset Point Rd, Suite 405 33765 Pinellas (727) 321-3854 8/8/2020 Public 0 No RegularCLEARWATER Narconon Suncoast, Inc. Suncoast C06 Inpatient Detoxification COMP-026102 LIC-1046855 26-3151983 SITE-00001757 1390 SUNSET POINT RD 33755-

1534Pinellas (727) 304-4176 11/22/2020 Private 10 Yes Regular

CLEARWATER Narconon Suncoast, Inc. Suncoast C06 Residential Level 2 COMP-026103 LIC-1046854 26-3151983 SITE-00001757 1390 SUNSET POINT RD 33755-1534

Pinellas (727) 304-4176 11/22/2020 Private 50 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Case Management COMP-025461 LIC-1046640 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 General Intervention COMP-025454 LIC-1046651 59-1349234 SITE-00001685 14500 49TH ST N 33762-2807

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Inpatient Detoxification COMP-025459 LIC-1046654 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 35 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Medication and Methadone Maintenance Treatment

COMP-025464 LIC-1046664 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Outpatient Detoxification COMP-025460 LIC-1046655 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Outpatient Methadone Detoxification COMP-025463 LIC-1046665 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Residential Level 5 COMP-025503 LIC-1046844 59-1349234 SITE-00001254 6150 150TH AVE N 33760-2138

Pinellas (727) 545-7564 12/1/2020 Public 15 Yes Regular

CLEARWATER Operation PAR, Inc. Suncoast C06 Treatment Alternatives for Safer Communities

COMP-025455 LIC-1046693 59-1349234 SITE-00001685 14500 49TH ST N 33762-2807

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

Clearwater Pinellas Ex-Offender Re-Entry Coalition, Inc.

Suncoast C06 Outpatient Treatment COMP-023455 LIC-1045379 59-3643636 SITE-00004538 12810 US HWY 19 N 33764 Pinellas (855) 505-7372 3/30/2020 Private 0 Yes Regular

Clearwater Square 1 Addiction Programs, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-023389 LIC-1045919 82-3248104 SITE-00004650 1212 Court St 33756 Pinellas (727) 351-7239 4/1/2020 Private 0 No RegularClearwater Square 1 Addiction Programs, Inc. Suncoast C06 Outpatient Treatment COMP-023387 LIC-1045920 82-3248104 SITE-00004650 1212 Court St 33756 Pinellas (727) 351-7239 4/1/2020 Private 0 No RegularClearwater White Sands Treatment Center Tampa,

LLCSuncoast C06 Intensive Outpatient Treatment COMP-024970 LIC-1045400 81-3488022 SITE-00004842 1932 Drew Street 33765 Pinellas (813) 756-5660 3/6/2020 Private 0 Yes Regular

Clearwater White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-023841 LIC-1046607 81-3488022 SITE-00004842 1932 Drew Street 33765 Pinellas (813) 756-5660 3/6/2020 Private 0 Yes Regular

Clermont LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025097 LIC-1046334 59-1561501 SITE-00003938 2140 North Don Wickham Drive 34711 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularClermont White Sands Treatment Center Tampa,

LLCCentral C05 Outpatient Treatment COMP-026176 LIC-1046607 81-3488022 SITE-00004912 836 West Montrose Street 34711 Lake (813) 756-5660 11/3/2020 Private 0 Yes Regular

Cocoa A Counseling Center, Inc. Central C18 Outpatient Treatment COMP-027021 LIC-1047121 59-3040173 SITE-00000707 690 Friday Road 32926 Brevard (321) 636-9941 5/17/2020 Private 0 No InterimCocoa Aspire Health Partners, Inc. Central C18 Case Management COMP-023690 LIC-1045900 59-2301233 SITE-00000803 3905 Grissom Parkway 32926 Brevard (407) 875-3700 5/23/2020 Public 0 Yes RegularCocoa Aspire Health Partners, Inc. Central C18 Outpatient Treatment COMP-023691 LIC-1045858 59-2301233 SITE-00000803 3905 Grissom Parkway 32926 Brevard (407) 875-3700 5/23/2020 Public 0 Yes RegularCocoa Aspire Health Partners, Inc. Central C18 Residential Level 2 COMP-023692 LIC-1045870 59-2301233 SITE-00000803 3905 Grissom Parkway 32926 Brevard (407) 875-3700 5/23/2020 Public 58 Yes RegularCocoa Bell Eve, Inc. Central C18 Day or Night Treatment COMP-023294 LIC-1045645 81-3930570 SITE-00003728 600 Florida Avenue, Suite 204 32922 Brevard (321) 735-4312 3/26/2020 Private 0 Yes RegularCocoa Bell Eve, Inc. Central C18 Intensive Outpatient Treatment COMP-023295 LIC-1045661 81-3930570 SITE-00003728 600 Florida Avenue, Suite 204 32922 Brevard (321) 735-4312 3/26/2020 Private 0 Yes RegularCocoa Bell Eve, Inc. Central C18 Outpatient Detoxification COMP-023293 LIC-1045646 81-3930570 SITE-00003728 600 Florida Avenue, Suite 204 32922 Brevard (321) 735-4312 3/26/2020 Private 0 Yes RegularCocoa Bell Eve, Inc. Central C18 Outpatient Treatment COMP-023296 LIC-1045644 81-3930570 SITE-00003728 600 Florida Avenue, Suite 204 32922 Brevard (321) 735-4312 3/26/2020 Private 0 Yes Regular

Source: PLADS Page 9 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Cocoa Bridges of Florida, Inc. Central C18 Aftercare COMP-025703 LIC-1046005 46-4672119 SITE-00004945 585 Camp Rd 32808-5613

Brevard (407) 218-4800 12/19/2020 Public 0 Yes Regular

Cocoa Bridges of Florida, Inc. Central C18 General Intervention COMP-025704 LIC-1046010 46-4672119 SITE-00004945 585 Camp Rd 32808-5613

Brevard (407) 218-4800 12/19/2020 Public 0 Yes Regular

Cocoa Bridges of Florida, Inc. Central C18 Outpatient Treatment COMP-025767 LIC-1046006 46-4672119 SITE-00004945 585 Camp Rd 32808-5613

Brevard (407) 218-4800 12/19/2020 Public 0 Yes Regular

Cocoa Camelot Community Care, Inc. Central C18 Outpatient Treatment COMP-024188 LIC-1047152 31-1659302 SITE-00004888 5225 Dewitt Avenue 33760 Brevard (727) 593-0003 4/1/2020 Public 0 Yes RegularCocoa CFSATC Inc. Central C18 Medication And Methadone

Maintenance TreatmentCOMP-023100 LIC-1045829 59-2311257 SITE-00000679 7 North Cocoa Blvd. 32922 Brevard (407) 843-0041 4/8/2020 Private 0 Yes Regular

Cocoa Crosswinds Youth Services, Inc. Central C18 Case Management COMP-024934 LIC-1046325 23-7376943 SITE-00000622 1407 Dixon Boulevard 32922 Brevard (321) 452-0800 8/1/2020 Public 0 Yes RegularCocoa Crosswinds Youth Services, Inc. Central C18 Level 1 Prevention COMP-024937 LIC-1046324 23-7376943 SITE-00000622 1407 Dixon Boulevard 32922 Brevard (321) 452-0800 8/1/2020 Public 0 Yes RegularCocoa Eckerd Youth Alternatives, Inc. Central C18 Level 1 Prevention COMP-023270 LIC-1045100 59-2551416 SITE-00000003 905 Pineda St 32922 Brevard (727) 461-2990 4/4/2020 Public 0 Yes RegularCocoa Eckerd Youth Alternatives, Inc. Central C18 Level 2 Prevention COMP-023271 LIC-1045734 59-2551416 SITE-00000003 905 Pineda St 32922 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularCocoa Premiere Addiction Recovery, LLC D/B/A

Premiere Addiction RecoveryCentral C18 Outpatient Treatment COMP-025979 LIC-1047340 83-2709887 SITE-00005211 1970 Michigan Ave 32922 Brevard (929) 284-1173 11/20/2020 Private 0 No Regular

Cocoa Space Coast Health Foundation, Inc. Central C18 Outpatient Treatment COMP-024040 LIC-1045653 59-2432318 SITE-00004578 505 Brevard Ave. 32922 Brevard (321) 241-6600 3/29/2020 Private 0 No Regular

Cocoa Space Coast Recovery, Inc. Central C18 Outpatient Treatment COMP-023696 LIC-1045667 23-7061960 SITE-00000583 1215 Lake Drive 32922 Brevard (321) 632-8730 4/26/2020 Public 0 Yes RegularCocoa Space Coast Recovery, Inc. Central C18 Residential Level 3 COMP-023669 LIC-1045663 23-7061960 SITE-00000583 1215 Lake Drive 32922 Brevard (321) 632-8730 4/26/2020 Public 25 Yes RegularCOCOA Specialized Treatment, Education &

Prevention Services, Inc. (S.T.E.P.S.)Central C18 Aftercare COMP-026059 LIC-1046989 63-0836930 SITE-00004004 803 N FISKE BLVD 32922-

7323Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

COCOA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C18 Case Management COMP-026057 LIC-1046987 63-0836930 SITE-00004004 803 N FISKE BLVD 32922-7323

Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

COCOA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C18 Day or Night Treatment COMP-026058 LIC-1046985 63-0836930 SITE-00004004 803 N FISKE BLVD 32922-7323

Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

COCOA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C18 Intensive Outpatient Treatment COMP-026056 LIC-1046988 63-0836930 SITE-00004004 803 N FISKE BLVD 32922-7323

Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

COCOA Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C18 Outpatient Treatment COMP-026064 LIC-1046986 63-0836930 SITE-00004004 803 N FISKE BLVD 32922-7323

Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

COCOA Western Judicial Services, Inc. Central C18 Outpatient Treatment COMP-025562 LIC-1045925 59-3443592 SITE-00000774 310 BRUNSON BLVD 32922-7789

Brevard (321) 868-4066 10/13/2020 Public 0 No Regular

COCOA BEACH Peace Club Central C18 Day or Night Treatment COMP-025194 LIC-1046745 46-2042211 SITE-00004397 1811 S ORLANDO AVE 32931-2340

Brevard (321) 961-5833 9/17/2020 Private 0 No Regular

COCOA BEACH Peace Club Central C18 Intensive Outpatient Treatment COMP-025196 LIC-1046631 46-2042211 SITE-00004397 1811 S ORLANDO AVE 32931-2340

Brevard (321) 961-5833 9/17/2020 Private 0 No Regular

Cooper City Harmony Development Center Southeast C17 Outpatient Treatment COMP-024718 LIC-1046357 80-0004598 SITE-00001548 12233 SW 55th Street, 33330 Broward (954) 766-4483 6/16/2020 Public 0 No RegularCoral Gables ABC's For Success, LLC Southern C11 Outpatient Treatment COMP-024819 LIC-1046530 80-0553863 SITE-00002622 1550 South Dixie Highway #203 33146 Dade (786) 536-9714 8/15/2020 Private 0 Yes RegularCoral Gables Centro Terapeutico Equilibrium Southern C11 Day or Night Treatment COMP-023245 LIC-1045634 46-3816103 SITE-00003524 932 Ponce De Leon Blvd. 33134 Dade (305) 999-5251 4/9/2020 Private 0 No RegularCoral Gables Centro Terapeutico Equilibrium Southern C11 Outpatient Treatment COMP-023244 LIC-1045635 46-3816103 SITE-00003524 932 Ponce De Leon Blvd. 33134 Dade (305) 999-5251 4/9/2020 Private 0 No RegularCoral Gables Espiga Health, Inc. Southern C11 Intensive Outpatient Treatment COMP-024986 LIC-1046420 47-1374993 SITE-00004726 250 Catalonia Ave 33134 Dade (305) 445-5981 8/13/2020 Private 0 No RegularCoral Gables Espiga Health, Inc. Southern C11 Outpatient Treatment COMP-024988 LIC-1046421 47-1374993 SITE-00004726 250 Catalonia Ave 33134 Dade (305) 445-5981 8/13/2020 Private 0 No RegularCoral Springs Broward Addiction Recovery Center

(BARC)Southeast C17 Residential Level 2 COMP-023185 LIC-1045410 59-6000531 SITE-00000287 3275 Northwest 99th Way 33065 Broward (954) 357-4860 3/22/2020 Public 92 Yes Regular

Coral Springs Edge Recovery Treatment LLC Southeast C17 Day or Night Treatment COMP-026586 LIC-1047192 83-4423534 SITE-00005184 3000 NW 101ST LN 33065 Broward (954) 272-4073 1/1/2021 Private 0 Yes Regular

Source: PLADS Page 10 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Coral Springs Edge Recovery Treatment LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-026585 LIC-1047193 83-4423534 SITE-00005184 3000 NW 101ST LN 33065 Broward (954) 272-4073 1/1/2021 Private 0 Yes Regular

Coral Springs Edge Recovery Treatment LLC Southeast C17 Intensive Outpatient Treatment COMP-026584 LIC-1047191 83-4423534 SITE-00005185 2950 NW 101ST LN 33065 Broward (954) 272-4073 1/1/2021 Private 0 Yes RegularCoral Springs Edge Recovery Treatment LLC Southeast C17 Outpatient Treatment COMP-026583 LIC-1047194 83-4423534 SITE-00005185 2950 NW 101ST LN 33065 Broward (954) 272-4073 1/1/2021 Private 0 Yes RegularCoral Springs Empire Detox LLC Southeast C17 Outpatient Detoxification COMP-025255 LIC-1046460 82-4491586 SITE-00004809 3000 NW 101st Lane 33065 Broward (561) 756-4334 8/5/2020 Private 0 Yes RegularCoral Springs Florida Family Care, Inc. Southeast C17 Outpatient Treatment COMP-026340 LIC-1046382 42-1574745 SITE-00002554 5571 N. University Drive, Suite 101 33067 Broward (954) 421-0494 5/11/2020 Private 0 No ProbationaryCoral Springs Peaceful Ridge Recovery, LLC Southeast C17 Day or Night Treatment COMP-024438 LIC-1046908 90-0940694 SITE-00004915 9732 West Sample Road 33065 Broward (954) 284-0025 6/21/2020 Private 0 Yes RegularCoral Springs Peaceful Ridge Recovery, LLC Southeast C17 Intensive Outpatient Treatment COMP-024437 LIC-1046907 90-0940694 SITE-00004915 9732 West Sample Road 33065 Broward (954) 284-0025 6/21/2020 Private 0 Yes RegularCoral Springs Peaceful Ridge Recovery, LLC Southeast C17 Outpatient Detoxification COMP-024439 LIC-1046180 90-0940694 SITE-00004915 9732 West Sample Road 33065 Broward (954) 284-0025 6/21/2020 Private 0 Yes RegularCoral Springs Peaceful Ridge Recovery, LLC Southeast C17 Outpatient Treatment COMP-024436 LIC-1046909 90-0940694 SITE-00004915 9732 West Sample Road 33065 Broward (954) 284-0025 6/21/2020 Private 0 Yes RegularCottondale Chemical Addictions Recovery Effort,

IncNorthwest C14 General Intervention COMP-023890 LIC-1045702 59-2912345 SITE-00001528 2766 Levy Street 32431 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Cottondale Chemical Addictions Recovery Effort, Inc

Northwest C14 Level 1 Prevention COMP-023906 LIC-1047186 59-2912345 SITE-00001528 2766 Levy Street 32431 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Cottondale Chemical Addictions Recovery Effort, Inc

Northwest C14 Level 2 Prevention COMP-023889 LIC-1045715 59-2912345 SITE-00001528 2766 Levy Street 32431 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Crawfordville Apalachee Center, Inc. Northwest C02 Case Management COMP-024141 LIC-1046109 59-1162148 SITE-00001477 43 Oak Street 32327 Wakulla (850) 523-3333 5/12/2020 Public 0 Yes RegularCrawfordville Avalon Treatment Centers, Inc. Northwest C02 Aftercare COMP-025238 LIC-1046778 37-1840060 SITE-00002613 3047 Crawfordville Highway 32327 Wakulla (850) 727-8738 7/23/2020 Private 0 No RegularCrawfordville Avalon Treatment Centers, Inc. Northwest C02 Outpatient Treatment COMP-025240 LIC-1046809 37-1840060 SITE-00002613 3047 Crawfordville Highway 32327 Wakulla (850) 727-8738 7/23/2020 Private 0 No RegularCRAWFORDVILLE DISC Village, Inc. Northwest C02 General Intervention COMP-026563 LIC-1045403 59-1491338 SITE-00001563 85 HIGH DR 32327-

2032Wakulla (850) 575-4388 2/28/2021 Public 0 Yes Regular

CRAWFORDVILLE DISC Village, Inc. Northwest C02 Outpatient Treatment COMP-026564 LIC-1045404 59-1491338 SITE-00001563 85 HIGH DR 32327-2032

Wakulla (850) 575-4388 2/28/2021 Public 0 Yes Regular

Crescent City St John's Recovery Place LLC Northeast C07 Inpatient Detoxification COMP-025686 LIC-1046995 82-2499438 SITE-00004934 1125 N Summit Street 32112 Putnam (833) 393-3869 10/30/2020 Private 16 No Regular

Crescent City St John's Recovery Place LLC Northeast C07 Residential Level 1 COMP-025566 LIC-1046994 82-2499438 SITE-00004934 1125 N Summit Street 32112 Putnam (833) 393-3869 10/30/2020 Private 29 No Regular

Crestview Bridgeway Center, Inc. Northwest C01 Aftercare COMP-023614 LIC-1045790 59-1278085 SITE-00002695 299 Railroad Avenue 32536 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularCrestview Bridgeway Center, Inc. Northwest C01 Case Management COMP-023792 LIC-1047145 59-1278085 SITE-00002695 299 Railroad Avenue 32536 Okaloosa (850) 833-7500 3/18/2020 Public 0 Yes RegularCrestview Bridgeway Center, Inc. Northwest C01 Intensive Outpatient Treatment COMP-023794 LIC-1045796 59-1278085 SITE-00002695 299 Railroad Avenue 32536 Okaloosa (850) 833-7500 3/18/2020 Public 0 Yes RegularCrestview Bridgeway Center, Inc. Northwest C01 Outpatient Treatment COMP-023652 LIC-1045791 59-1278085 SITE-00002585 2007 James Lee Blvd 32536 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularCrestview Bridgeway Center, Inc. Northwest C01 Outpatient Treatment COMP-023612 LIC-1045791 59-1278085 SITE-00002695 299 Railroad Avenue 32536 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularCrestview Camelot Community Care, Inc. Northwest C01 Outpatient Treatment COMP-024196 LIC-1047152 31-1659302 SITE-00004822 4448 Straight Line Road 32539 Okaloosa (727) 593-0003 4/1/2020 Public 0 Yes RegularCRESTVIEW Gulf Coast Treatment Center, Inc. Northwest C01 Outpatient Treatment COMP-025720 LIC-1046913 56-1341134 SITE-00001252 4455 STRAIGHT LINE RD 32539-

6720Okaloosa (850) 863-4160 10/30/2020 Public 0 Yes Regular

CRESTVIEW Youth Opportunity Investments LLC Northwest C01 Outpatient Treatment COMP-024906 LIC-1045556 27-0972875 SITE-00004149 4449 STRAIGHT LINE RD 32539-6720

Okaloosa (727) 800-3511 x41102

4/1/2020 Public 28 Yes Regular

Cross City Meridian Behavioral Health Care, Inc. Northeast C03 Outpatient Treatment COMP-023056 LIC-1045518 59-1906214 SITE-00003554 41 NE 238th Street 32628 Dixie (352) 374-5600 3/28/2020 Public 0 Yes Regular

Crystal River LifeStream Behavioral Center Central C05 Level 1 Prevention COMP-024990 LIC-1046539 59-1561501 SITE-00005032 1554 North Meadowcrest Blvd. 34429 Citrus (352) 315-7500 5/5/2020 Public 0 Yes RegularCrystal River LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-024991 LIC-1046334 59-1561501 SITE-00005032 1554 North Meadowcrest Blvd. 34429 Citrus (352) 315-7500 5/5/2020 Public 0 Yes RegularCUTLER BAY Advocate Program Inc. Southern C11 Aftercare COMP-025519 LIC-1046605 59-1622809 SITE-00002881 10700 CARIBBEAN BLVD 33189-

1224Dade (305) 468-4100 10/8/2020 Private 0 Yes Regular

CUTLER BAY Advocate Program Inc. Southern C11 Outpatient Treatment COMP-025522 LIC-1046606 59-1622809 SITE-00002881 10700 CARIBBEAN BLVD 33189-1224

Dade (305) 468-4100 10/8/2020 Private 0 Yes Regular

Dade City BayCare Behavioral Health, Inc. Suncoast C06 Case Management COMP-024537 LIC-1045856 59-1371752 SITE-00001160 14527 Seventh St. 33523 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularDade City BayCare Behavioral Health, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-026128 LIC-1047231 59-1371752 SITE-00001160 14527 Seventh St. 33523 Pasco (727) 841-4200 11/30/2020 Public 0 Yes Regular

Dade City BayCare Behavioral Health, Inc. Suncoast C06 Outpatient Treatment COMP-024522 LIC-1045854 59-1371752 SITE-00001160 14527 Seventh St. 33523 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularDania Holistic Recovery Centers, LLC Southeast C17 Residential Level 5 COMP-025243 LIC-1046485 80-0865740 SITE-00000843 37 SW 14th Street 33004 Broward (877) 723-7117 10/7/2020 Private 30 Yes Regular

Source: PLADS Page 11 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Dania Treatment Management Solutions LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-025077 LIC-1046638 84-2201669 SITE-00002819 4200 SW 54th Court 33314 Broward (754) 312-5500 7/8/2020 Private 0 No Regular

Dania Treatment Management Solutions LLC Southeast C17 Inpatient Detoxification COMP-025074 LIC-1046632 84-2201669 SITE-00002819 4200 SW 54th Court 33314 Broward (754) 312-5500 7/8/2020 Private 12 No Regular

Dania Treatment Management Solutions LLC Southeast C17 Intensive Outpatient Treatment COMP-025078 LIC-1046639 84-2201669 SITE-00002819 4200 SW 54th Court 33314 Broward (754) 312-5500 7/8/2020 Private 0 No Regular

Dania Treatment Management Solutions LLC Southeast C17 Residential Level 1 COMP-025076 LIC-1046633 84-2201669 SITE-00002819 4200 SW 54th Court 33314 Broward (754) 312-5500 7/8/2020 Private 30 No Regular

DAVIE Affordable & Convenient Counseling, LLC

Southeast C17 Outpatient Treatment COMP-025057 LIC-1045231 45-4301504 SITE-00001385 2217 S UNIVERSITY DR 33324-5813

Broward (305) 901-5500 7/21/2020 Private 0 No Regular

Davie Atlantic Recovery Center, LLC Southeast C17 Day or Night Treatment COMP-024400 LIC-1045583 47-1388883 SITE-00003574 5400 S. University Drive Suite# 308 33328 Broward (954) 289-8383 4/24/2020 Private 0 Yes RegularDavie Atlantic Recovery Center, LLC Southeast C17 Day or Night Treatment with

Community HousingCOMP-024370 LIC-1047172 47-1388883 SITE-00003574 5400 S. University Drive Suite# 308 33328 Broward (954) 289-8383 4/24/2020 Private 0 Yes Regular

Davie Atlantic Recovery Center, LLC Southeast C17 Intensive Outpatient Treatment COMP-024404 LIC-1045581 47-1388883 SITE-00003574 5400 S. University Drive Suite# 308 33328 Broward (954) 289-8383 4/24/2020 Private 0 Yes RegularDavie Atlantic Recovery Center, LLC Southeast C17 Outpatient Treatment COMP-023834 LIC-1045582 47-1388883 SITE-00003574 5400 S. University Drive Suite# 308 33328 Broward (954) 289-8383 4/24/2020 Private 0 Yes RegularDavie Firewall Centers, Inc. Southeast C17 Aftercare COMP-024823 LIC-1047219 06-1704451 SITE-00004781 13451 SW 7th Place 33325 Broward (954) 252-0838 6/5/2020 Public 0 No RegularDavie Firewall Centers, Inc. Southeast C17 Level 1 Prevention COMP-024900 LIC-1046409 06-1704451 SITE-00004781 13451 SW 7th Place 33325 Broward (954) 252-0838 6/5/2020 Public 0 No RegularDavie Principles Recovery Center, LLC Southeast C17 Day or Night Treatment COMP-023443 LIC-1045883 32-0455807 SITE-00000924 4343 South SR7, #109 33314 Broward (954) 608-1686 4/3/2020 Private 0 Yes RegularDavie Principles Recovery Center, LLC Southeast C17 Intensive Outpatient Treatment COMP-023445 LIC-1045881 32-0455807 SITE-00000924 4343 South SR7, #109 33314 Broward (954) 608-1686 4/3/2020 Private 0 Yes RegularDavie Principles Recovery Center, LLC Southeast C17 Outpatient Treatment COMP-023447 LIC-1045882 32-0455807 SITE-00000924 4343 South SR7, #109 33314 Broward (954) 608-1686 4/3/2020 Private 0 Yes RegularDavie Recovery in Tune Southeast C17 Day or Night Treatment COMP-024613 LIC-1047221 47-4102611 SITE-00003837 6530 Griffin Road 33314 Broward (954) 744-3696 6/9/2020 Private 0 Yes RegularDavie Recovery in Tune Southeast C17 Intensive Outpatient Treatment COMP-025809 LIC-1046482 47-4102611 SITE-00003837 6530 Griffin Road 33314 Broward (954) 744-3696 6/9/2020 Private 0 Yes RegularDavie Recovery in Tune Southeast C17 Outpatient Treatment COMP-025810 LIC-1046481 47-4102611 SITE-00003837 6530 Griffin Road 33314 Broward (954) 744-3696 6/9/2020 Private 0 Yes RegularDaytona Beach AMIkids Behavioral Health, Inc. Northeast C07 Outpatient Treatment COMP-025117 LIC-1047069 59-2661387 SITE-00005169 1420 Mason Avenue 32117 Volusia (813) 887-3300 7/28/2020 Public 0 No RegularDaytona Beach Camelot Community Care, Inc. Northeast C07 Outpatient Treatment COMP-024195 LIC-1047152 31-1659302 SITE-00004823 3840 Old Deland Road 33760 Volusia (727) 593-0003 4/1/2020 Public 0 Yes RegularDAYTONA BEACH Chance 2 Change Northeast C07 Aftercare COMP-025945 LIC-1045195 46-2755887 SITE-00000610 724 S BEACH ST 32114-

5412Volusia (386) 437-0026 11/4/2020 Private 0 Yes Regular

DAYTONA BEACH Chance 2 Change Northeast C07 Day or Night Treatment COMP-025941 LIC-1047154 46-2755887 SITE-00000610 724 S BEACH ST 32114-5412

Volusia (386) 437-0026 11/4/2020 Private 0 Yes Regular

DAYTONA BEACH Chance 2 Change Northeast C07 Intensive Outpatient Treatment COMP-025946 LIC-1045254 46-2755887 SITE-00000610 724 S BEACH ST 32114-5412

Volusia (386) 437-0026 11/4/2020 Private 0 Yes Regular

DAYTONA BEACH Chance 2 Change Northeast C07 Outpatient Treatment COMP-025943 LIC-1045207 46-2755887 SITE-00000610 724 S BEACH ST 32114-5412

Volusia (386) 437-0026 11/4/2020 Private 0 Yes Regular

DAYTONA BEACH Healthy Start Coalition of Flagler & Volusia Counties, Inc.

Northeast C07 Aftercare COMP-025069 LIC-1046238 59-3163742 SITE-00002836 109 EXECUTIVE CIR 32114-1136

Volusia (386) 252-4277 7/18/2020 Public 0 No Regular

DAYTONA BEACH Healthy Start Coalition of Flagler & Volusia Counties, Inc.

Northeast C07 Case Management COMP-025068 LIC-1046239 59-3163742 SITE-00002836 109 EXECUTIVE CIR 32114-1136

Volusia (386) 252-4277 7/18/2020 Public 0 No Regular

DAYTONA BEACH Hearthstone Fellowship Foundation, Inc.

Northeast C07 Aftercare COMP-024369 LIC-1047171 59-3710711 SITE-00003287 814 N BEACH ST 32114-2234

Volusia (386) 238-1348 4/20/2020 Private 0 No Regular

DAYTONA BEACH Hearthstone Fellowship Foundation, Inc.

Northeast C07 Aftercare COMP-026178 LIC-1047171 59-3710711 SITE-00003287 814 N BEACH ST 32114-2234

Volusia (386) 238-1348 1/3/2021 Private 0 No Regular

DAYTONA BEACH Hearthstone Fellowship Foundation, Inc.

Northeast C07 Outpatient Treatment COMP-025997 LIC-1045225 59-3710711 SITE-00003287 814 N BEACH ST 32114-2234

Volusia (386) 238-1348 1/3/2021 Private 0 No Regular

Daytona Beach Hollan Pugh Northeast C07 Aftercare COMP-026800 LIC-1047374 84-3257136 SITE-00005350 116 bay st 32114 Volusia (386) 589-7833 4/16/2020 Private 0 No ProbationaryDaytona Beach Hollan Pugh Northeast C07 Day or Night Treatment COMP-026804 LIC-1047375 84-3257136 SITE-00005350 116 bay st 32114 Volusia (386) 589-7833 4/16/2020 Private 0 No ProbationaryDaytona Beach Hollan Pugh Northeast C07 Intensive Outpatient Treatment COMP-026798 LIC-1047376 84-3257136 SITE-00005350 116 bay st 32114 Volusia (386) 589-7833 4/16/2020 Private 0 No ProbationaryDaytona Beach Hollan Pugh Northeast C07 Outpatient Treatment COMP-026799 LIC-1047377 84-3257136 SITE-00005350 116 bay st 32114 Volusia (386) 589-7833 4/16/2020 Private 0 No ProbationaryDAYTONA BEACH Metro Treatment of Florida, LP Northeast C07 Medication And Methadone

Maintenance TreatmentCOMP-024757 LIC-1045386 58-2341219 SITE-00001202 1823 BUSINESS PARK BLVD 32114-

1230Volusia (407) 351-7080 8/3/2020 Private 0 Yes Regular

DAYTONA BEACH Oasis Treatment Center Northeast C07 Aftercare COMP-026008 LIC-1046896 20-5429175 SITE-00002023 1057 MASON AVE 32117-4611

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

Source: PLADS Page 12 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

DAYTONA BEACH Oasis Treatment Center Northeast C07 Outpatient Treatment COMP-025883 LIC-1046715 20-5429175 SITE-00002023 1057 MASON AVE 32117-4611

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

Daytona Beach Project Refocus Northeast C07 General Intervention COMP-024739 LIC-1047237 26-4495425 SITE-00001730 402 Seabreeze Blvd 32118 Volusia (386) 255-7594 6/23/2020 Private 0 No RegularDAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Addictions Receiving Facility COMP-025890 LIC-1046892 59-0976866 SITE-00003804 1150 RED JOHN DR 32124-

1016Volusia (386) 236-1804 11/30/2020 Public 19 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Aftercare COMP-025960 LIC-1046891 59-0976866 SITE-00000561 1220 WILLIS AVE 32114-2810

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

Daytona Beach SMA Healthcare, Inc. Northeast C07 Aftercare COMP-025955 LIC-1046891 59-0976866 SITE-00001123 3601 US Hwy 92 32124 Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Aftercare COMP-025885 LIC-1046891 59-0976866 SITE-00003809 1341 INDIAN LAKE RD 32124-1039

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Case Management COMP-025957 LIC-1046903 59-0976866 SITE-00000561 1220 WILLIS AVE 32114-2810

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 General Intervention COMP-025958 LIC-1046888 59-0976866 SITE-00000561 1220 WILLIS AVE 32114-2810

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

Daytona Beach SMA Healthcare, Inc. Northeast C07 General Intervention COMP-025954 LIC-1046888 59-0976866 SITE-00001123 3601 US Hwy 92 32124 Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 General Intervention COMP-025884 LIC-1046888 59-0976866 SITE-00003809 1341 INDIAN LAKE RD 32124-1039

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Inpatient Detoxification COMP-025892 LIC-1046890 59-0976866 SITE-00003804 1150 RED JOHN DR 32124-1016

Volusia (386) 236-1804 11/30/2020 Public 19 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Level 1 Prevention COMP-025959 LIC-1046894 59-0976866 SITE-00000561 1220 WILLIS AVE 32114-2810

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Level 1 Prevention COMP-025898 LIC-1046894 59-0976866 SITE-00003268 3875 TIGER BAY RD 32124-1063

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025956 LIC-1046889 59-0976866 SITE-00000561 1220 WILLIS AVE 32114-2810

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

Daytona Beach SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025953 LIC-1046889 59-0976866 SITE-00001123 3601 US Hwy 92 32124 Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025889 LIC-1046889 59-0976866 SITE-00003809 1341 INDIAN LAKE RD 32124-1039

Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

DAYTONA BEACH SMA Healthcare, Inc. Northeast C07 Residential Level 2 COMP-025897 LIC-1046893 59-0976866 SITE-00003268 3875 TIGER BAY RD 32124-1063

Volusia (386) 236-1804 11/30/2020 Public 24 Yes Regular

DAYTONA BEACH The Chrysalis Center, Inc. d/b/a Chrysalis Health

Northeast C07 Outpatient Treatment COMP-025301 LIC-1046519 20-1966531 SITE-00000676 412 S PALMETTO AVE 32114-4922

Volusia (954) 587-1008 9/30/2020 Public 0 Yes Regular

Daytona Beach TrueCore Behavioral Solutions, LLC Northeast C07 Level 1 Prevention COMP-023532 LIC-1045567 54-1859903 SITE-00000494 1386 Indian Lake Road 32124 Volusia (813) 514-6275 4/7/2020 Public 0 No RegularDaytona Beach TrueCore Behavioral Solutions, LLC Northeast C07 Outpatient Treatment COMP-023353 LIC-1045557 54-1859903 SITE-00000494 1386 Indian Lake Road 32124 Volusia (813) 514-6275 4/7/2020 Public 0 No RegularDebary SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025899 LIC-1046889 59-0976866 SITE-00003231 356 Englenook Drive 32713 Volusia (386) 236-1804 11/30/2020 Public 0 Yes Regular

Debary Sojourners Recovery and Wellness Center, LLC

Northeast C07 Day or Night Treatment COMP-023115 LIC-1045607 47-2952886 SITE-00004777 58 North Charles Richard Beall Blvd 32713 Volusia (407) 952-8444 4/9/2020 Private 0 No Regular

Debary Sojourners Recovery and Wellness Center, LLC

Northeast C07 Intensive Outpatient Treatment COMP-023114 LIC-1045606 47-2952886 SITE-00004777 58 North Charles Richard Beall Blvd 32713 Volusia (407) 952-8444 4/9/2020 Private 0 No Regular

Deerfield Beach Affordable & Convenient Counseling, LLC

Southeast C17 Outpatient Treatment COMP-025059 LIC-1045231 45-4301504 SITE-00004136 700 West Hillsboro Blvd, 33441 Broward (305) 901-5500 7/21/2020 Private 0 No Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Day or Night Treatment COMP-023558 LIC-1045984 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Day or Night Treatment COMP-024152 LIC-1045984 58-2670224 SITE-00002169 505 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Day or Night Treatment with Community Housing

COMP-023556 LIC-1045985 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Source: PLADS Page 13 of 95

Page 14: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Day or Night Treatment with Community Housing

COMP-024153 LIC-1045985 58-2670224 SITE-00002169 505 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Inpatient Detoxification COMP-024142 LIC-1045981 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 44 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Inpatient Methadone Detoxification COMP-024147 LIC-1045980 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 2 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Intensive Inpatient Treatment COMP-024148 LIC-1045983 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 8 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Intensive Outpatient Treatment COMP-023559 LIC-1045986 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Intensive Outpatient Treatment COMP-024154 LIC-1045986 58-2670224 SITE-00002169 505 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 0 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Residential Level 1 COMP-024149 LIC-1045982 58-2670224 SITE-00001668 504 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 30 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Residential Level 5 COMP-024157 LIC-1045987 58-2670224 SITE-00002164 475 South Federal Highway 33441 Broward (954) 422-1420 3/11/2020 Private 40 Yes Regular

Deerfield Beach Deerfield Florida House dba FHE Health Southeast C17 Residential Level 5 COMP-024155 LIC-1045987 58-2670224 SITE-00003110 809 S.E. 5th Court 33441 Broward (954) 422-1420 3/11/2020 Private 40 Yes Regular

Deerfield Beach Gracious Care Recovery Solutions, Inc. Southeast C17 Day or Night Treatment COMP-025691 LIC-1046735 46-3796706 SITE-00000258 201 N Federal Highway 33441 Broward (561) 305-3073 10/26/2020 Private 0 Yes Regular

Deerfield Beach Gracious Care Recovery Solutions, Inc. Southeast C17 Day or Night Treatment with Community Housing

COMP-025692 LIC-1046737 46-3796706 SITE-00000258 201 N Federal Highway 33441 Broward (561) 305-3073 10/26/2020 Private 50 Yes Regular

Deerfield Beach Gracious Care Recovery Solutions, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025279 LIC-1046736 46-3796706 SITE-00000258 201 N Federal Highway 33441 Broward (561) 305-3073 10/26/2020 Private 0 Yes Regular

Deerfield Beach Gracious Care Recovery Solutions, Inc. Southeast C17 Outpatient Treatment COMP-025276 LIC-1046738 46-3796706 SITE-00000258 201 N Federal Highway 33441 Broward (561) 305-3073 10/26/2020 Private 0 Yes Regular

Deerfield Beach New Directions for Young Adults, Inc. Southeast C17 Day or Night Treatment COMP-024802 LIC-1046288 26-1312170 SITE-00000211 3275 W. Hillsboro BLVD 33442 Broward (954) 375-6092 7/20/2020 Private 0 No Regular

Deerfield Beach New Directions for Young Adults, Inc. Southeast C17 Intensive Outpatient Treatment COMP-024803 LIC-1046289 26-1312170 SITE-00000211 3275 W. Hillsboro BLVD 33442 Broward (954) 375-6092 7/20/2020 Private 0 No Regular

Deerfield Beach New Directions for Young Adults, Inc. Southeast C17 Outpatient Treatment COMP-024801 LIC-1046272 26-1312170 SITE-00000211 3275 W. Hillsboro BLVD 33442 Broward (954) 375-6092 7/20/2020 Private 0 No Regular

Deerfield Beach Pharos Group, LLC d/b/a Lifeskills South Florida

Southeast C17 Day or Night Treatment COMP-024560 LIC-1046164 65-1005595 SITE-00000996 1431 SW 9th Avenue 33441 Broward (954) 834-5099 5/3/2020 Private 0 Yes Regular

Deerfield Beach Pharos Group, LLC d/b/a Lifeskills South Florida

Southeast C17 Residential Level 2 COMP-024557 LIC-1046072 65-1005595 SITE-00000996 1431 SW 9th Avenue 33441 Broward (954) 834-5099 5/3/2020 Private 52 Yes Regular

Deerfield Beach Sunlight Recovery, Inc. Southeast C17 Day or Night Treatment COMP-024409 LIC-1046079 20-2976354 SITE-00000551 505 South Federal Highway 33060 Broward (954) 422-6242 7/11/2020 Private 0 Yes RegularDeerfield Beach Sunlight Recovery, Inc. Southeast C17 Day or Night Treatment with

Community HousingCOMP-024410 LIC-1046080 20-2976354 SITE-00000551 505 South Federal Highway 33060 Broward (954) 422-6242 7/11/2020 Private 0 Yes Regular

Deerfield Beach Sunlight Recovery, Inc. Southeast C17 Intensive Outpatient Treatment COMP-024525 LIC-1046081 20-2976354 SITE-00000551 505 South Federal Highway 33060 Broward (954) 422-6242 7/11/2020 Private 0 Yes RegularDeerfield Beach Sunlight Recovery, Inc. Southeast C17 Residential Level 5 COMP-024526 LIC-1046082 20-2976354 SITE-00002988 809 S.E. 5th Court 33441 Broward (954) 422-6242 7/11/2020 Private 40 Yes RegularDeerfield Beach Sunlight Recovery, Inc. Southeast C17 Residential Level 5 COMP-024528 LIC-1046082 20-2976354 SITE-00002992 475 S. Federal Hwy. 33441 Broward (954) 422-6242 7/11/2020 Private 40 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Level 1 Prevention COMP-024102 LIC-1047185 59-0737872 SITE-00005146 3686 U.S. Hwy 331 S, 32435 Walton (850) 469-3500 3/29/2020 Public 0 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Level 1 Prevention COMP-024119 LIC-1047185 59-0737872 SITE-00005155 605 Bruce Ave 32435 Walton (850) 469-3500 3/29/2020 Public 0 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-024101 LIC-1045591 59-0737872 SITE-00005146 3686 U.S. Hwy 331 S, 32435 Walton (850) 469-3500 3/29/2020 Public 0 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Residential Level 2 COMP-024117 LIC-1045624 59-0737872 SITE-00005153 1629 E. Highway 90 32435 Walton (850) 469-3500 3/29/2020 Public 15 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Residential Level 3 COMP-024374 LIC-1045623 59-0737872 SITE-00005148 4253 U.S. Highway 331 S 32501 Walton (850) 469-3500 3/29/2020 Public 15 Yes RegularDefuniak Springs LAKEVIEW CENTER, INC. Northwest C01 Treatment Alternatives for Safer

CommunitiesCOMP-024099 LIC-1045337 59-0737872 SITE-00005146 3686 U.S. Hwy 331 S, 32435 Walton (850) 469-3500 3/29/2020 Public 0 Yes Regular

Defuniak Springs Rite of Passage Inc. Northwest C01 Outpatient Treatment COMP-024361 LIC-1046229 88-0235002 SITE-00004014 286 Gene Hurly Road 32433 Walton (352) 717-3694 3/23/2020 Public 0 No RegularDeland House Next Door Northeast C07 General Intervention COMP-025713 LIC-1047322 59-1675284 SITE-00005247 114 S. Alabama Ave. 32720 Volusia (386) 734-7571 10/8/2020 Public 0 Yes Regular

Source: PLADS Page 14 of 95

Page 15: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Deland House Next Door Northeast C07 Level 1 Prevention COMP-025877 LIC-1045121 59-1675284 SITE-00005247 114 S. Alabama Ave. 32720 Volusia (386) 734-7571 10/8/2020 Public 0 Yes RegularDeland Oglethorpe of St. Cloud LLC d/b/a

Blackberry Recovery CenterNortheast C07 Day or Night Treatment with

Community HousingCOMP-025981 LIC-1045367 46-3775815 SITE-00002243 2775 Big John Drive 32724 Volusia (386) 337-7957 11/28/2020 Private 0 Yes Regular

Deland Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Northeast C07 Inpatient Detoxification COMP-025976 LIC-1045365 46-3775815 SITE-00002243 2775 Big John Drive 32724 Volusia (386) 337-7957 11/28/2020 Private 8 Yes Regular

Deland Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Northeast C07 Intensive Outpatient Treatment COMP-025983 LIC-1045366 46-3775815 SITE-00002243 2775 Big John Drive 32724 Volusia (386) 337-7957 11/28/2020 Private 0 Yes Regular

Deland Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Northeast C07 Residential Level 1 COMP-025980 LIC-1045368 46-3775815 SITE-00002243 2775 Big John Drive 32724 Volusia (386) 337-7957 11/28/2020 Private 42 Yes Regular

Deland SMA Healthcare, Inc. Northeast C07 Residential Level 2 COMP-025952 LIC-1046893 59-0976866 SITE-00001048 1251 N. Stone Street 32720 Volusia (386) 236-1804 11/30/2020 Public 54 Yes Regular

Deland White Sands Treatment Center Tampa, LLC

Northeast C07 Outpatient Treatment COMP-027104 LIC-1046607 81-3488022 SITE-00004883 324 E Church St 32724 Volusia (813) 756-5660 5/28/2020 Private 0 Yes Probationary

Delray Beach Access Recovery Solutions, LLC Southeast C15 Medication and Methadone Maintenance Treatment

COMP-022919 LIC-1045594 27-0861631 SITE-00004097 16244 South Military Trail 33484 Palm Beach

(561) 865-2550 3/27/2020 Private 0 Yes Regular

Delray Beach Access Recovery Solutions, LLC Southeast C15 Outpatient Treatment COMP-022920 LIC-1045595 27-0861631 SITE-00004097 16244 South Military Trail 33484 Palm Beach

(561) 865-2550 3/27/2020 Private 0 Yes Regular

Delray Beach Affordable & Convenient Counseling, LLC

Southeast C15 Outpatient Treatment COMP-025061 LIC-1045231 45-4301504 SITE-00003065 4731 West Atlantic Avenue 33445 Palm Beach

(305) 901-5500 7/21/2020 Private 0 No Regular

Delray Beach Aware Recovery Care of Florida LLC Southeast C15 Outpatient Treatment COMP-026363 LIC-1047214 61-1908491 SITE-00005260 1625 S Congress Avenue 33445 Palm Beach

(561) 418-3262 12/9/2020 Private 0 No Regular

Delray Beach CRC FOUNDATION Southeast C15 Level 1 Prevention COMP-026044 LIC-1047042 65-0172970 SITE-00004521 1700 LAKE IDA RD 33445-2468

Palm Beach

(561) 501-6322 1/16/2021 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Day or Night Treatment COMP-024512 LIC-1046361 20-4512900 SITE-00001268 88 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Day or Night Treatment COMP-024509 LIC-1046361 20-4512900 SITE-00001273 120 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Intensive Outpatient Treatment COMP-024511 LIC-1046362 20-4512900 SITE-00001268 88 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Intensive Outpatient Treatment COMP-024508 LIC-1046362 20-4512900 SITE-00001273 120 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Outpatient Treatment COMP-024510 LIC-1046360 20-4512900 SITE-00001268 88 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Delray Center for Recovery, Inc. Southeast C15 Outpatient Treatment COMP-024507 LIC-1046360 20-4512900 SITE-00001273 120 Southeast 4th Avenue 33483 Palm Beach

(561) 266-8866 6/21/2020 Private 0 Yes Regular

Delray Beach Discovery Counseling & Wellness Center, Inc.

Southeast C15 Day or Night Treatment with Community Housing

COMP-023902 LIC-1047189 46-5668488 SITE-00004090 3200 S. Congress Ave 33483 Palm Beach

(561) 272-0800 5/15/2020 Private 0 No Regular

Delray Beach Discovery Counseling & Wellness Center, Inc.

Southeast C15 Intensive Outpatient Treatment COMP-025364 LIC-1046795 46-5668488 SITE-00004090 3200 S. Congress Ave 33483 Palm Beach

(561) 272-0800 5/15/2020 Private 0 No Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Aftercare COMP-023832 LIC-1045711 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Case Management COMP-023831 LIC-1045724 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 General Intervention COMP-023830 LIC-1045722 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Inpatient Detoxification COMP-023825 LIC-1045726 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 22 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Level 1 Prevention COMP-023833 LIC-1045705 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Outpatient Treatment COMP-023829 LIC-1045723 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

Source: PLADS Page 15 of 95

Page 16: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Residential Level 2 COMP-023827 LIC-1045725 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 112 Yes Regular

Delray Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Residential Level 4 COMP-023828 LIC-1045727 23-7074625 SITE-00000920 400 S. Swinton Ave. 33444 Palm Beach

(561) 278-0000 4/29/2020 Public 40 Yes Regular

Delray Beach EDEN RECOVERY CENTER, LLC Southeast C15 Intensive Outpatient Treatment COMP-023449 LIC-1045103 82-3002622 SITE-00000875 2158 W. Atlantic Avenue 33445 Palm Beach

(561) 562-6861 4/23/2020 Private 0 Yes Regular

Delray Beach EDEN RECOVERY CENTER, LLC Southeast C15 Outpatient Treatment COMP-023450 LIC-1045102 82-3002622 SITE-00000875 2158 W. Atlantic Avenue 33445 Palm Beach

(561) 562-6861 4/23/2020 Private 0 Yes Regular

Delray Beach Florida Recovery Group LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-023240 LIC-1045739 27-3483854 SITE-00003201 1300 NW 17th AVE 33444 Palm Beach

(561) 330-4688 5/17/2020 Private 0 Yes Regular

Delray Beach Florida Recovery Group LLC Southeast C15 Intensive Outpatient Treatment COMP-023326 LIC-1045741 27-3483854 SITE-00003201 1300 NW 17th AVE 33444 Palm Beach

(561) 330-4688 5/17/2020 Private 0 Yes Regular

Delray Beach Florida Recovery Group LLC Southeast C15 Outpatient Treatment COMP-023325 LIC-1045740 27-3483854 SITE-00003201 1300 NW 17th AVE 33444 Palm Beach

(561) 330-4688 5/17/2020 Private 0 Yes Regular

DELRAY BEACH Harmony Outpatient Center, LLC Southeast C15 Day or Night Treatment COMP-026023 LIC-1046727 47-4396339 SITE-00001878 300 GEORGE BUSH BLVD 33444-4036

Palm Beach

(561) 859-0032 12/1/2020 Private 0 Yes Regular

DELRAY BEACH Harmony Outpatient Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-026033 LIC-1046726 47-4396339 SITE-00001878 300 GEORGE BUSH BLVD 33444-4036

Palm Beach

(561) 859-0032 12/1/2020 Private 0 Yes Regular

DELRAY BEACH Harmony Outpatient Center, LLC Southeast C15 Outpatient Treatment COMP-025654 LIC-1046728 47-4396339 SITE-00001878 300 GEORGE BUSH BLVD 33444-4036

Palm Beach

(561) 859-0032 12/1/2020 Private 0 Yes Regular

Delray Beach Immersion Recovery Center Southeast C15 Day or Night Treatment COMP-025131 LIC-1046591 47-4067715 SITE-00003191 3333 S. Congress Ave. 33445 Palm Beach

(561) 274-6133 8/1/2020 Private 0 Yes Regular

Delray Beach Immersion Recovery Center Southeast C15 Day or Night Treatment with Community Housing

COMP-025129 LIC-1046590 47-4067715 SITE-00003191 3333 S. Congress Ave. 33445 Palm Beach

(561) 274-6133 8/1/2020 Private 0 Yes Regular

Delray Beach Immersion Recovery Center Southeast C15 Intensive Outpatient Treatment COMP-025132 LIC-1046592 47-4067715 SITE-00003191 3333 S. Congress Ave. 33445 Palm Beach

(561) 274-6133 8/1/2020 Private 0 Yes Regular

Delray Beach Immersion Recovery Center Southeast C15 Outpatient Treatment COMP-025133 LIC-1046589 47-4067715 SITE-00003191 3333 S. Congress Ave. 33445 Palm Beach

(561) 274-6133 8/1/2020 Private 0 Yes Regular

Delray Beach Lifeskills South Florida Outpatient, LLC Southeast C15 Day or Night Treatment COMP-025299 LIC-1047269 45-3536330 SITE-00005139 440 SE 5th Ave 33483 Palm Beach

(954) 834-5099 7/28/2020 Private 0 Yes Regular

Delray Beach Lifeskills South Florida Outpatient, LLC Southeast C15 Intensive Outpatient Treatment COMP-025268 LIC-1046302 45-3536330 SITE-00005139 440 SE 5th Ave 33483 Palm Beach

(954) 834-5099 7/28/2020 Private 0 Yes Regular

Delray Beach Lifeskills South Florida Outpatient, LLC Southeast C15 Outpatient Treatment COMP-025273 LIC-1046165 45-3536330 SITE-00005139 440 SE 5th Ave 33483 Palm Beach

(954) 834-5099 7/28/2020 Private 0 Yes Regular

Delray Beach Palm Partners LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025777 LIC-1046871 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 0 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Inpatient Detoxification COMP-025774 LIC-1046869 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 35 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Intensive Inpatient Treatment COMP-025848 LIC-1046872 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 2 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Intensive Outpatient Treatment COMP-026114 LIC-1046870 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 9 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Residential Level 1 COMP-025773 LIC-1046859 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 7 Yes Interim 2nd

DELRAY BEACH Palm Partners LLC Southeast C15 Residential Level 1 COMP-025776 LIC-1046859 74-3103013 SITE-00003788 707 LINTON BLVD 33444 Palm Beach

(561) 455-0750 4/1/2020 Private 28 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Residential Level 2 COMP-025775 LIC-1046016 74-3103013 SITE-00000040 705 Linton Boulevard 33444 Palm Beach

(561) 455-0750 4/1/2020 Private 32 Yes Interim 2nd

Delray Beach Palm Partners LLC Southeast C15 Residential Level 2 COMP-025778 LIC-1046016 74-3103013 SITE-00001266 816 Palm Trail 33483 Palm Beach

(561) 455-0750 4/1/2020 Private 6 Yes Interim 2nd

Source: PLADS Page 16 of 95

Page 17: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Delray Beach Pride Recovery Center Southeast C15 Day or Night Treatment with Community Housing

COMP-025605 LIC-1046842 81-0724946 SITE-00002359 2206 W Atlantic Avenue 33445 Palm Beach

(561) 404-4449 9/20/2020 Private 0 Yes Regular

Delray Beach Pride Recovery Center Southeast C15 Intensive Outpatient Treatment COMP-025604 LIC-1046843 81-0724946 SITE-00002359 2206 W Atlantic Avenue 33445 Palm Beach

(561) 404-4449 9/20/2020 Private 0 Yes Regular

Delray Beach Pride Recovery Center Southeast C15 Outpatient Treatment COMP-025603 LIC-1046841 81-0724946 SITE-00002359 2206 W Atlantic Avenue 33445 Palm Beach

(561) 404-4449 9/20/2020 Private 0 Yes Regular

Delray Beach RECO Intensive OP LLC Southeast C15 Day or Night Treatment COMP-026362 LIC-1047363 47-2510145 SITE-00002123 140 NE 4th Ave 33483 Palm Beach

(561) 808-7986 4/2/2020 Private 0 Yes Probationary

Delray Beach RECO Intensive OP LLC Southeast C15 Intensive Outpatient Treatment COMP-026360 LIC-1045269 47-2510145 SITE-00002123 140 NE 4th Ave 33483 Palm Beach

(561) 808-7986 1/26/2021 Private 0 Yes Regular

Delray Beach RECO Intensive OP LLC Southeast C15 Outpatient Treatment COMP-026361 LIC-1045539 47-2510145 SITE-00002123 140 NE 4th Ave 33483 Palm Beach

(561) 808-7986 1/26/2021 Private 0 Yes Regular

Delray Beach Sound Recovery Solutions LLC Southeast C15 Day or Night Treatment COMP-026429 LIC-1047358 47-1658413 SITE-00000568 2512 North Federal Highway 33483 Palm Beach

(561) 257-3576 3/19/2020 Private 0 No Probationary

Delray Beach Sound Recovery Solutions LLC Southeast C15 Intensive Outpatient Treatment COMP-024379 LIC-1046073 47-1658413 SITE-00000568 2512 North Federal Highway 33483 Palm Beach

(561) 257-3576 4/26/2020 Private 0 Yes Regular

Delray Beach Sound Recovery Solutions LLC Southeast C15 Outpatient Treatment COMP-024408 LIC-1046074 47-1658413 SITE-00000568 2512 North Federal Highway 33483 Palm Beach

(561) 257-3576 4/26/2020 Private 0 Yes Regular

DELRAY BEACH The Beachcomber Rehabilitation, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-025310 LIC-1046696 59-1696573 SITE-00001750 4493 N OCEAN BLVD 33483-7522

Palm Beach

(561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

DELRAY BEACH The Beachcomber Rehabilitation, Inc. Southeast C15 Residential Level 1 COMP-025311 LIC-1046593 59-1696573 SITE-00001750 4493 N OCEAN BLVD 33483-7522

Palm Beach

(561) 734-1818 4/26/2020 Private 16 Yes Interim 2nd

DELRAY BEACH Transformations Treatment Center, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-025746 LIC-1046829 26-3441447 SITE-00000159 14000 S MILITARY TRL 33484-2600

Palm Beach

(561) 819-0620 9/3/2020 Private 0 Yes Regular

DELRAY BEACH Transformations Treatment Center, Inc. Southeast C15 Intensive Outpatient Treatment COMP-025747 LIC-1046831 26-3441447 SITE-00000159 14000 S MILITARY TRL 33484-2600

Palm Beach

(561) 819-0620 9/3/2020 Private 0 Yes Regular

DELRAY BEACH Transformations Treatment Center, Inc. Southeast C15 Outpatient Treatment COMP-025748 LIC-1046830 26-3441447 SITE-00000159 14000 S MILITARY TRL 33484-2600

Palm Beach

(561) 819-0620 9/3/2020 Private 0 Yes Regular

DELRAY BEACH Wayside House, Inc. Southeast C15 Day or Night Treatment COMP-026368 LIC-1045262 59-1590644 SITE-00000423 378 NE 6TH AVE 33483-5517

Palm Beach

(561) 666-9154 1/27/2021 Public 0 Yes Regular

DELRAY BEACH Wayside House, Inc. Southeast C15 Intensive Outpatient Treatment COMP-026365 LIC-1045217 59-1590644 SITE-00000425 328 NE 6TH AVE 33483-5517

Palm Beach

(561) 666-9154 1/27/2021 Public 0 Yes Regular

DELRAY BEACH Wayside House, Inc. Southeast C15 Outpatient Treatment COMP-026369 LIC-1045261 59-1590644 SITE-00000423 378 NE 6TH AVE 33483-5517

Palm Beach

(561) 666-9154 4/26/2020 Public 0 Yes Probationary

DELRAY BEACH Wayside House, Inc. Southeast C15 Outpatient Treatment COMP-026367 LIC-1045261 59-1590644 SITE-00000425 328 NE 6TH AVE 33483-5517

Palm Beach

(561) 666-9154 1/27/2021 Private 0 Yes Regular

DELRAY BEACH Wayside House, Inc. Southeast C15 Residential Level 2 COMP-026366 LIC-1045263 59-1590644 SITE-00000423 378 NE 6TH AVE 33483-5517

Palm Beach

(561) 666-9154 1/27/2021 Public 28 Yes Regular

Destin Bayshore Retreat, LLC Northwest C01 Residential Level 2 COMP-023042 LIC-1045447 27-3111562 SITE-00004031 457 Calhoun Avenue 32541 Okaloosa (850) 269-3975 3/24/2020 Private 6 Yes RegularDoral Florida Behavioral Center, Inc. Southern C11 Outpatient Treatment COMP-024626 LIC-1046282 46-2566722 SITE-00003060 1905 NW 82 nd Avenue 33126 Dade (786) 378-2696 7/29/2020 Private 0 Yes RegularDUNEDIN Hal Bishop, LCSW, PA Suncoast C06 Outpatient Treatment COMP-025647 LIC-1046630 59-3645499 SITE-00003667 1591 MAIN ST 34698-

4651Pinellas (727) 347-3284 10/11/2020 Private 0 No Regular

East Palatka Putnam County Sheriff's Office Northeast C07 Level 2 Prevention COMP-025812 LIC-1046810 59-6000819 SITE-00003812 142 Ferry Road, Juvenile Crime Prevention Office

32131 Putnam (386) 329-1231 11/29/2020 Public 0 No Regular

Edgewater Oasis Treatment Center Northeast C07 Aftercare COMP-025841 LIC-1046896 20-5429175 SITE-00003174 612 N. Ridgewood Ave. 32032 Volusia (386) 341-1303 12/6/2020 Private 0 No RegularEdgewater Oasis Treatment Center Northeast C07 Outpatient Treatment COMP-026007 LIC-1046715 20-5429175 SITE-00003174 612 N. Ridgewood Ave. 32032 Volusia (386) 341-1303 12/6/2020 Private 0 No RegularEdgewater Serenity Springs, LLC Northeast C07 Day or Night Treatment COMP-023764 LIC-1045960 30-0695968 SITE-00004680 1557 Cow Creek Rd 32132 Volusia (386) 423-4540 4/12/2020 Private 0 Yes RegularEdgewater Serenity Springs, LLC Northeast C07 Day or Night Treatment with

Community HousingCOMP-023727 LIC-1045961 30-0695968 SITE-00001312 1555 Cow Creek Road 32132 Volusia (386) 423-4540 4/12/2020 Private 0 Yes Regular

Edgewater Serenity Springs, LLC Northeast C07 Intensive Outpatient Treatment COMP-023728 LIC-1045959 30-0695968 SITE-00001312 1555 Cow Creek Road 32132 Volusia (386) 423-4540 4/12/2020 Private 0 Yes RegularEdgewater Serenity Springs, LLC Northeast C07 Residential Level 2 COMP-023725 LIC-1045958 30-0695968 SITE-00001312 1555 Cow Creek Road 32132 Volusia (386) 423-4540 4/12/2020 Private 12 Yes Regular

Source: PLADS Page 17 of 95

Page 18: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Englewood Halcyon Management Group, Inc. Suncoast C12 Outpatient Treatment COMP-025665 LIC-1046472 46-2922097 SITE-00004091 2021 Englewood Road 34223 Sarasota (941) 255-5900 9/10/2020 Public 0 No RegularEstero White Sands Treatment Center Tampa,

LLCSuncoast C20 Intensive Outpatient Treatment COMP-027195 LIC-1045400 81-3488022 SITE-00004850 19970 S. Tamiami Tr. 33928 Lee (813) 756-5660 5/28/2020 Private 0 Yes Probationary

Estero White Sands Treatment Center Tampa, LLC

Suncoast C20 Outpatient Treatment COMP-024079 LIC-1046607 81-3488022 SITE-00004850 19970 S. Tamiami Tr. 33928 Lee (813) 756-5660 3/6/2020 Private 0 Yes Regular

Estero White Sands Treatment Center Tampa, LLC

Suncoast C20 Outpatient Treatment COMP-026617 LIC-1046607 81-3488022 SITE-00004850 19970 S. Tamiami Tr. 33928 Lee (813) 756-5660 11/3/2020 Private 0 Yes Regular

Eustis LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025098 LIC-1046334 59-1561501 SITE-00001980 201 E. Magnolia Ave. 32727 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularEustis LifeStream Behavioral Center Central C05 Treatment Alternatives for Safer

CommunitiesCOMP-025099 LIC-1046531 59-1561501 SITE-00001980 201 E. Magnolia Ave. 32727 Lake (352) 315-7500 9/19/2020 Public 0 Yes Regular

FERNANDINA Awakening - Nassau Northeast C04 General Intervention COMP-025186 LIC-1047306 47-5516837 SITE-00002875 1324 S 14TH ST 32034-4455

Nassau (904) 432-8798 9/21/2020 Private 0 No Regular

Fernandina Beach Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 General Intervention COMP-025256 LIC-1045914 59-3029469 SITE-00005238 2201 Sadler Road 32034 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Fleming Island Clay Behavioral Health Center Northeast C04 Level 1 Prevention COMP-026278 LIC-1045530 59-2219317 SITE-00001953 2233 Village Square Parkway 32003 Clay (904) 291-5561 2/4/2021 Public 0 Yes RegularFleming Island Clay Behavioral Health Center Northeast C04 Level 2 Prevention COMP-026279 LIC-1045531 59-2219317 SITE-00001953 2233 Village Square Parkway 32003 Clay (904) 291-5561 2/4/2021 Public 0 Yes RegularFloral City Eckerd Youth Alternatives, Inc. Central C05 Outpatient Treatment COMP-023188 LIC-1046044 59-2551416 SITE-00000256 7027 E. Stagecoach Trail 34436 Citrus (727) 461-2990 4/4/2020 Private 0 Yes RegularFloral City Eckerd Youth Alternatives, Inc. Central C05 Residential Level 2 COMP-023195 LIC-1047089 59-2551416 SITE-00000256 7027 E. Stagecoach Trail 34436 Citrus (727) 461-2990 4/4/2020 Private 70 Yes RegularFlorida City Community Health of South Florida, Inc Southern C11 Case Management COMP-026466 LIC-1045350 59-1372690 SITE-00002769 19300 SW 376 Street 33034 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Florida City Community Health of South Florida, Inc Southern C11 General Intervention COMP-026464 LIC-1045396 59-1372690 SITE-00002769 19300 SW 376 Street 33034 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Florida City Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026465 LIC-1045194 59-1372690 SITE-00002769 19300 SW 376 Street 33034 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Florida City GEO Reentry Services, LLC. Southern C11 Intensive Outpatient Treatment COMP-023981 LIC-1045773 46-1260559 SITE-00004798 19000 S.W. 377th Street 33034 Dade (561) 285-6346 4/4/2020 Public 0 No RegularFlorida City GEO Reentry Services, LLC. Southern C11 Level 1 Prevention COMP-026046 LIC-1045772 46-1260559 SITE-00004798 19000 S.W. 377th Street 33034 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Florida City GEO Reentry Services, LLC. Southern C11 Outpatient Treatment COMP-023982 LIC-1046417 46-1260559 SITE-00004798 19000 S.W. 377th Street 33034 Dade (561) 285-6346 4/4/2020 Public 0 No RegularFlorida City Miami-Dade County Southern C11 Outpatient Treatment COMP-023151 LIC-1045814 59-6000573 SITE-00003277 1600 NW 6th Court 33034 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularFort Lauderdale Addictions Behavioral Health Center of

America, Inc.Southeast C17 Day or Night Treatment COMP-023224 LIC-1047338 47-2505109 SITE-00004871 1730 East Commercial Blvd. 33308 Broward (954) 288-2555 11/13/2020 Private 0 Yes Regular

Fort Lauderdale Addictions Behavioral Health Center of America, Inc.

Southeast C17 Intensive Outpatient Treatment COMP-026186 LIC-1046800 47-2505109 SITE-00004871 1730 East Commercial Blvd. 33308 Broward (954) 288-2555 11/13/2020 Private 0 Yes Regular

Fort Lauderdale Addictions Behavioral Health Center of America, Inc.

Southeast C17 Outpatient Treatment COMP-026172 LIC-1047337 47-2505109 SITE-00004871 1730 East Commercial Blvd. 33308 Broward (954) 288-2555 11/13/2020 Private 0 Yes Regular

Fort Lauderdale AMIkids Greater Fort Lauderdale Southeast C17 Outpatient Treatment COMP-022769 LIC-1045632 59-1163198 SITE-00000666 3220 SW 4th Avenue 33315 Broward (954) 764-2733 5/27/2020 Public 0 No InterimFort Lauderdale Archways, Inc. Southeast C17 Case Management COMP-022922 LIC-1045558 59-2341993 SITE-00000248 919 Northeast 13th Street 33304 Broward (954) 763-2030 3/21/2020 Public 0 Yes RegularFort Lauderdale Archways, Inc. Southeast C17 Day or Night Treatment COMP-022921 LIC-1045561 59-2341993 SITE-00000248 919 Northeast 13th Street 33304 Broward (954) 763-2030 3/21/2020 Public 0 Yes RegularFort Lauderdale Archways, Inc. Southeast C17 Level 1 Prevention COMP-022876 LIC-1045559 59-2341993 SITE-00000248 919 Northeast 13th Street 33304 Broward (954) 763-2030 3/21/2020 Public 0 Yes RegularFort Lauderdale Archways, Inc. Southeast C17 Outpatient Treatment COMP-022874 LIC-1045560 59-2341993 SITE-00000248 919 Northeast 13th Street 33304 Broward (954) 763-2030 3/21/2020 Public 0 Yes RegularFort Lauderdale Bliss Recovery Center, LLC d/b/a Ocean

Bliss Recovery, LLCSoutheast C17 Day or Night Treatment with

Community HousingCOMP-023807 LIC-1046799 81-3624483 SITE-00005121 2803 E. Commercial Boulevard 33308-

4356Broward (888) 797-3422 10/22/2020 Private 0 No Regular

Fort Lauderdale Bliss Recovery Center, LLC d/b/a Ocean Bliss Recovery, LLC

Southeast C17 Intensive Outpatient Treatment COMP-023806 LIC-1046857 81-3624483 SITE-00005121 2803 E. Commercial Boulevard 33308-4356

Broward (888) 797-3422 10/22/2020 Private 0 No Regular

Fort Lauderdale Bliss Recovery Center, LLC d/b/a Ocean Bliss Recovery, LLC

Southeast C17 Outpatient Treatment COMP-023805 LIC-1046877 81-3624483 SITE-00005121 2803 E. Commercial Boulevard 33308-4356

Broward (888) 797-3422 10/22/2020 Private 0 No Regular

Fort Lauderdale Broward Addiction Recovery Center (BARC)

Southeast C17 Inpatient Detoxification COMP-023108 LIC-1045492 59-6000531 SITE-00004745 325 SW 28th Street 33315 Broward (954) 357-4860 3/22/2020 Public 50 Yes Regular

Fort Lauderdale Broward Addiction Recovery Center (BARC)

Southeast C17 Intensive Outpatient Treatment COMP-023187 LIC-1045427 59-6000531 SITE-00000291 900 NW 31st Avenue 33311 Broward (954) 357-4860 3/22/2020 Public 0 Yes Regular

Source: PLADS Page 18 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Fort Lauderdale Broward Addiction Recovery Center (BARC)

Southeast C17 Intensive Outpatient Treatment COMP-023182 LIC-1045427 59-6000531 SITE-00004745 325 SW 28th Street 33315 Broward (954) 357-4860 3/22/2020 Public 0 Yes Regular

Fort Lauderdale Broward Addiction Recovery Center (BARC)

Southeast C17 Outpatient Treatment COMP-023184 LIC-1045493 59-6000531 SITE-00000291 900 NW 31st Avenue 33311 Broward (954) 357-4860 3/22/2020 Public 0 Yes Regular

Fort Lauderdale Broward Addiction Recovery Center (BARC)

Southeast C17 Outpatient Treatment COMP-023186 LIC-1045493 59-6000531 SITE-00000295 4733 SW 18th Street 33023 Broward (954) 357-4860 3/22/2020 Public 0 Yes Regular

Fort Lauderdale Broward House, Inc. Southeast C17 Day or Night Treatment with Community Housing

COMP-023274 LIC-1045846 59-2913416 SITE-00000329 501 SE 18th Court 33316 Broward (954) 522-4749 5/8/2020 Public 0 No Regular

Fort Lauderdale Broward House, Inc. Southeast C17 Outpatient Treatment COMP-023273 LIC-1045848 59-2913416 SITE-00000329 501 SE 18th Court 33316 Broward (954) 522-4749 5/8/2020 Public 0 No RegularFort Lauderdale Broward Partnership for the Homeless Southeast C17 Level 2 Prevention COMP-025690 LIC-1047004 65-0777033 SITE-00000342 920 Northwest 7th Avenue 33311 Broward (954) 779-3990 12/2/2020 Public 0 No Regular

Fort Lauderdale Camelot Community Care, Inc. Southeast C17 Outpatient Treatment COMP-023994 LIC-1047152 31-1659302 SITE-00004894 222 NW 22nd Avenue 33311 Broward (727) 593-0003 4/1/2020 Public 0 Yes RegularFort Lauderdale CFSATC Inc. Southeast C17 Satellite Maintenance COMP-023096 LIC-1047226 59-2311257 SITE-00004964 3181 Davie Blvd 32804 Broward (407) 843-0041 4/8/2020 Private 0 Yes RegularFort Lauderdale Destination Hope, Inc. Southeast C17 Day or Night Treatment with

Community HousingCOMP-026259 LIC-1045134 20-4845884 SITE-00000389 6555 NW 9TH AVE. 33309 Broward (954) 771-2091 1/22/2021 Private 0 Yes Regular

Fort Lauderdale Destination Hope, Inc. Southeast C17 Intensive Outpatient Treatment COMP-026253 LIC-1045136 20-4845884 SITE-00000389 6555 NW 9TH AVE. 33309 Broward (954) 771-2091 1/22/2021 Private 0 Yes RegularFort Lauderdale Destination Hope, Inc. Southeast C17 Outpatient Treatment COMP-026251 LIC-1045135 20-4845884 SITE-00000389 6555 NW 9TH AVE. 33309 Broward (954) 771-2091 1/22/2021 Private 0 Yes RegularFort Lauderdale Detox Centers of America, LLC Southeast C17 Inpatient Detoxification COMP-026582 LIC-1047403 84-2966780 SITE-00005314 208 SE 8th Street 33316 Broward (305) 824-7513 5/25/2020 Private 30 No ProbationaryFort Lauderdale Detox Centers of America, LLC Southeast C17 Residential Level 1 COMP-026610 LIC-1047404 84-2966780 SITE-00005314 208 SE 8th Street 33316 Broward (305) 824-7513 5/25/2020 Private 30 No ProbationaryFort Lauderdale Fort Lauderdale Hospital, Inc. d/b/a Fort

Lauderdale Behavioral Health CenterSoutheast C17 Addictions Receiving Facility COMP-023542 LIC-1045837 20-1021229 SITE-00004560 5757 North Dixie Hwy 33334 Broward (954) 734-2006 5/13/2020 Private 20 Yes Regular

Fort Lauderdale Gateway Recovery Center Southeast C17 Intensive Outpatient Treatment COMP-021481 LIC-1046579 82-5460616 SITE-00004838 1421 southeast 4th avenue 33316 Broward (954) 395-7444 3/22/2020 Private 0 No Interim 2ndFort Lauderdale Gateway Recovery Center Southeast C17 Outpatient Treatment COMP-021482 LIC-1046580 82-5460616 SITE-00004838 1421 southeast 4th avenue 33316 Broward (954) 395-7444 3/22/2020 Private 0 No Interim 2ndFort Lauderdale Henderson Behavioral Health, Inc. Southeast C17 Day or Night Treatment COMP-026444 LIC-1045391 59-0711167 SITE-00000430 2900 West Prospect Road 33309 Broward (954) 791-4300 2/15/2021 Public 0 Yes RegularFORT LAUDERDALE Henderson Behavioral Health, Inc. Southeast C17 Inpatient Detoxification COMP-026380 LIC-1047155 59-0711167 SITE-00004280 2677 NW 19TH STREET 33311 Broward (954) 791-4300 2/15/2021 Public 2 Yes Regular

Fort Lauderdale Henderson Behavioral Health, Inc. Southeast C17 Outpatient Treatment COMP-026442 LIC-1045315 59-0711167 SITE-00000430 2900 West Prospect Road 33309 Broward (954) 791-4300 2/15/2021 Public 0 Yes RegularFort Lauderdale House of Hope, Inc. Southeast C17 Outpatient Treatment COMP-026845 LIC-1045576 23-7014595 SITE-00000434 908 Southwest First Street 33312 Broward (954) 524-8989 3/2/2021 Public 0 Yes RegularFort Lauderdale House of Hope, Inc. Southeast C17 Residential Level 2 COMP-026814 LIC-1045577 23-7014595 SITE-00000434 908 Southwest First Street 33312 Broward (954) 524-8989 3/2/2021 Public 86 Yes RegularFort Lauderdale House of Hope, Inc. Southeast C17 Residential Level 2 COMP-026847 LIC-1045577 23-7014595 SITE-00000439 901 Northeast 17th Street 33305 Broward (954) 524-8989 3/2/2021 Public 37 Yes RegularFort Lauderdale House of Hope, Inc. Southeast C17 Residential Level 3 COMP-026844 LIC-1045579 23-7014595 SITE-00000434 908 Southwest First Street 33312 Broward (954) 524-8989 3/2/2021 Public 10 Yes RegularFort Lauderdale House of Hope, Inc. Southeast C17 Residential Level 3 COMP-026846 LIC-1045579 23-7014595 SITE-00000439 901 Northeast 17th Street 33305 Broward (954) 524-8989 3/2/2021 Public 5 Yes RegularFort Lauderdale Infinity 8 LLC Southeast C17 Intensive Outpatient Treatment COMP-025698 LIC-1046218 82-4634927 SITE-00004727 1915 SE 45th Street 33308 Broward (954) 940-1045 9/17/2020 Private 0 Yes RegularFort Lauderdale Infinity 8 LLC Southeast C17 Outpatient Treatment COMP-025697 LIC-1046217 82-4634927 SITE-00004727 1915 SE 45th Street 33308 Broward (954) 940-1045 9/17/2020 Private 0 Yes RegularFort Lauderdale J & M Health Consultants LLC d/b/a

Road to Recovery Treatment CenterSoutheast C17 Day or Night Treatment COMP-024136 LIC-1046153 82-4817768 SITE-00005126 24 SW 10th Street 33315 Broward (954) 543-2946 5/29/2020 Private 0 Yes Regular

Fort Lauderdale J & M Health Consultants LLC d/b/a Road to Recovery Treatment Center

Southeast C17 Day or Night Treatment with Community Housing

COMP-024138 LIC-1047064 82-4817768 SITE-00005126 24 SW 10th Street 33315 Broward (954) 543-2946 5/29/2020 Private 0 Yes Regular

Fort Lauderdale J & M Health Consultants LLC d/b/a Road to Recovery Treatment Center

Southeast C17 Intensive Outpatient Treatment COMP-024139 LIC-1046152 82-4817768 SITE-00005126 24 SW 10th Street 33315 Broward (954) 543-2946 5/29/2020 Private 0 Yes Regular

Fort Lauderdale Las Olas Recovery, LLC Southeast C17 Day or Night Treatment COMP-022782 LIC-1045697 80-0809082 SITE-00001338 600 SE 2nd Court 33301 Broward (954) 487-1248 3/6/2020 Private 0 Yes RegularFort Lauderdale Las Olas Recovery, LLC Southeast C17 Intensive Outpatient Treatment COMP-022781 LIC-1045690 80-0809082 SITE-00001338 600 SE 2nd Court 33301 Broward (954) 487-1248 3/6/2020 Private 0 Yes RegularFort Lauderdale Map to Health, LLC Southeast C17 Day or Night Treatment COMP-023973 LIC-1046551 46-2170317 SITE-00002750 915 Middle River Drive, Suite 114 33304 Broward (954) 368-0888 5/22/2020 Private 0 Yes RegularFort Lauderdale Map to Health, LLC Southeast C17 Day or Night Treatment with

Community HousingCOMP-023972 LIC-1046550 46-2170317 SITE-00002750 915 Middle River Drive, Suite 114 33304 Broward (954) 368-0888 5/22/2020 Private 0 Yes Regular

Fort Lauderdale Map to Health, LLC Southeast C17 Intensive Outpatient Treatment COMP-023971 LIC-1046555 46-2170317 SITE-00002750 915 Middle River Drive, Suite 114 33304 Broward (954) 368-0888 5/22/2020 Private 0 Yes RegularFort Lauderdale Map to Health, LLC Southeast C17 Outpatient Treatment COMP-023978 LIC-1046516 46-2170317 SITE-00002750 915 Middle River Drive, Suite 114 33304 Broward (954) 368-0888 5/22/2020 Private 0 Yes Regular

Source: PLADS Page 19 of 95

Page 20: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Fort Lauderdale Multicultural Alliance Healthcare Solutions, Inc.

Southeast C17 Case Management COMP-023367 LIC-1047234 27-3401361 SITE-00004973 2700 West Cypress Creek Road 33309 Broward (954) 514-7569 6/24/2020 Public 0 No Regular

Fort Lauderdale Multicultural Alliance Healthcare Solutions, Inc.

Southeast C17 Outpatient Treatment COMP-023314 LIC-1047233 27-3401361 SITE-00004973 2700 West Cypress Creek Road 33309 Broward (954) 514-7569 6/24/2020 Public 0 No Regular

Fort Lauderdale Recovery First of Florida, LLC Southeast C17 Intensive Outpatient Treatment COMP-026397 LIC-1045280 47-2553005 SITE-00000706 4549 SW 54th Court 33020 Broward (954) 981-9228 5/4/2020 Private 0 Yes InterimFort Lauderdale Recovery First of Florida, LLC Southeast C17 Residential Level 2 COMP-026400 LIC-1045285 47-2553005 SITE-00000706 4549 SW 54th Court 33020 Broward (954) 981-9228 5/4/2020 Private 28 Yes InterimFort Lauderdale Stony Brook Counseling Center Southeast C17 Intensive Outpatient Treatment COMP-024486 LIC-1046069 65-0682723 SITE-00000547 7491 West Oakland Park 33319 Broward (954) 746-5667 6/22/2020 Private 0 No RegularFort Lauderdale The Bougainvilla House, Inc. Southeast C17 Intensive Outpatient Treatment COMP-026262 LIC-1045220 59-2120945 SITE-00002408 1727 SE 4th Avenue 33316 Broward (954) 764-7337 1/16/2021 Private 0 Yes RegularFort Lauderdale The Bougainvilla House, Inc. Southeast C17 Outpatient Treatment COMP-026284 LIC-1045221 59-2120945 SITE-00002408 1727 SE 4th Avenue 33316 Broward (954) 764-7337 1/16/2021 Private 0 Yes RegularFort Lauderdale The Chrysalis Center, Inc. d/b/a

Chrysalis HealthSoutheast C17 Outpatient Treatment COMP-025314 LIC-1046519 20-1966531 SITE-00003658 3800 W Broward Blvd 33312 Broward (954) 587-1008 9/30/2020 Public 0 Yes Regular

Fort Lauderdale The Family Place FL, LLC. Southeast C17 Day or Night Treatment COMP-026216 LIC-1047343 84-2744231 SITE-00005284 2151 E Commercial Blvd. 33308-3807

Broward (954) 288-2555 11/30/2020 Private 0 No Regular

Fort Lauderdale The Family Place FL, LLC. Southeast C17 Day or Night Treatment with Community Housing

COMP-026219 LIC-1047352 84-2744231 SITE-00005284 2151 E Commercial Blvd. 33308-3807

Broward (954) 288-2555 11/30/2020 Private 0 No Regular

Fort Lauderdale The Family Place FL, LLC. Southeast C17 Intensive Outpatient Treatment COMP-026217 LIC-1047342 84-2744231 SITE-00005284 2151 E Commercial Blvd. 33308-3807

Broward (954) 288-2555 11/30/2020 Private 0 No Regular

Fort Lauderdale The Family Place FL, LLC. Southeast C17 Outpatient Treatment COMP-026218 LIC-1047344 84-2744231 SITE-00005284 2151 E Commercial Blvd. 33308-3807

Broward (954) 288-2555 11/30/2020 Private 0 No Regular

Fort Lauderdale The Source FL INC. Southeast C17 Day or Night Treatment COMP-025066 LIC-1046562 82-1486365 SITE-00004673 1730 E Commercial Blvd 33334 Broward (954) 288-2555 7/30/2020 Private 0 Yes RegularFort Lauderdale The Source FL INC. Southeast C17 Day or Night Treatment with

Community HousingCOMP-025090 LIC-1047276 82-1486365 SITE-00004673 1730 E Commercial Blvd 33334 Broward (954) 288-2555 7/30/2020 Private 0 Yes Regular

Fort Lauderdale The Source FL INC. Southeast C17 Intensive Outpatient Treatment COMP-025321 LIC-1045988 82-1486365 SITE-00004673 1730 E Commercial Blvd 33334 Broward (954) 288-2555 7/30/2020 Private 0 Yes RegularFort Lauderdale The Source FL INC. Southeast C17 Outpatient Treatment COMP-021777 LIC-1047271 82-1486365 SITE-00004673 1730 E Commercial Blvd 33334 Broward (954) 288-2555 7/30/2020 Private 0 Yes RegularFort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Day or Night Treatment with

Community HousingCOMP-024849 LIC-1046279 46-2501537 SITE-00004762 2901 NW 62nd Street (Cypress Creek Road) 33309 Broward (954) 915-7444 7/25/2020 Private 0 Yes Regular

Fort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Intensive Outpatient Treatment COMP-025026 LIC-1046270 46-2501537 SITE-00004762 2901 NW 62nd Street (Cypress Creek Road) 33309 Broward (954) 915-7444 7/25/2020 Private 0 Yes Regular

Fort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Outpatient Detoxification COMP-024847 LIC-1046281 46-2501537 SITE-00004762 2901 NW 62nd Street (Cypress Creek Road) 33309 Broward (954) 915-7444 7/25/2020 Private 0 Yes Regular

Fort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Outpatient Treatment COMP-024850 LIC-1046271 46-2501537 SITE-00004762 2901 NW 62nd Street (Cypress Creek Road) 33309 Broward (954) 915-7444 7/25/2020 Private 0 Yes Regular

Fort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Residential Level 5 COMP-025036 LIC-1046280 46-2501537 SITE-00002347 465 SW 20 Avenue 33312 Broward (954) 915-7444 7/25/2020 Private 16 Yes RegularFort Lauderdale TLC Recovery of South Florida LLC Southeast C17 Residential Level 5 COMP-025027 LIC-1046280 46-2501537 SITE-00002349 505 SW 20 Avenue 33312 Broward (954) 915-7444 7/25/2020 Private 8 Yes RegularFort Lauderdale United Way of Broward County, Inc.

(Commission on S. A.)Southeast C17 Level 1 Prevention COMP-025758 LIC-1046385 59-0624402 SITE-00000302 1300 South Andrews Avenue 33316 Broward (954) 462-4850 10/28/2020 Public 0 Yes Regular

Fort Myers Aim Target Programs, Inc. Suncoast C20 Outpatient Treatment COMP-024982 LIC-1046483 65-0515273 SITE-00000958 3049 Cleveland Ave 33901 Lee (239) 939-3363 9/12/2020 Private 0 Yes RegularFort Myers Calusa Recovery Services, LLC Suncoast C20 Day or Night Treatment COMP-024343 LIC-1047081 83-1964547 SITE-00004942 15611 New Hamphsire Ct. 33908 Lee (239) 738-5573 4/13/2020 Private 0 No RegularFort Myers Calusa Recovery Services, LLC Suncoast C20 Intensive Outpatient Treatment COMP-024342 LIC-1047078 83-1964547 SITE-00004942 15611 New Hamphsire Ct. 33908 Lee (239) 738-5573 4/13/2020 Private 0 No RegularFort Myers Calusa Recovery Services, LLC Suncoast C20 Outpatient Treatment COMP-024341 LIC-1047079 83-1964547 SITE-00004942 15611 New Hamphsire Ct. 33908 Lee (239) 738-5573 4/13/2020 Private 0 No RegularFort Myers Camelot Community Care, Inc. Suncoast C20 Outpatient Treatment COMP-024012 LIC-1047152 31-1659302 SITE-00004898 2525 Ortiz Avenue 33905 Lee (727) 593-0003 4/1/2020 Public 0 Yes RegularFort Myers Charlotte Behavioral Health Care, Inc Suncoast C20 Case Management COMP-025400 LIC-1046564 59-1234922 SITE-00004061 2295 Victoria Ave 33901 Lee (941) 639-8300 10/30/2020 Public 0 Yes Regular

Fort Myers Charlotte Behavioral Health Care, Inc Suncoast C20 Outpatient Treatment COMP-025402 LIC-1045886 59-1234922 SITE-00004061 2295 Victoria Ave 33901 Lee (941) 639-8300 10/30/2020 Public 0 Yes Regular

Fort Myers Florida Treatment for Change Inc. Suncoast C20 Intensive Outpatient Treatment COMP-022977 LIC-1046818 82-3261252 SITE-00004561 2180 Maravilla Ln 33901 Lee (239) 333-8079 5/11/2020 Private 0 No InterimFort Myers Florida Treatment for Change Inc. Suncoast C20 Outpatient Treatment COMP-022978 LIC-1045473 82-3261252 SITE-00004561 2180 Maravilla Ln 33901 Lee (239) 333-8079 5/11/2020 Private 0 No InterimFort Myers Florida Treatment for Change Inc. Suncoast C20 Outpatient Treatment COMP-026811 LIC-1045473 82-3261252 SITE-00004561 2180 Maravilla Ln 33901 Lee (239) 333-8079 2/10/2021 Private 0 No RegularFort Myers Halcyon Management Group, Inc. Suncoast C20 Aftercare COMP-025682 LIC-1046471 46-2922097 SITE-00004976 3660 Central Avenue 33952 Lee (941) 255-5900 9/10/2020 Public 0 No RegularFort Myers Halcyon Management Group, Inc. Suncoast C20 Outpatient Treatment COMP-025677 LIC-1046472 46-2922097 SITE-00004976 3660 Central Avenue 33952 Lee (941) 255-5900 9/10/2020 Public 0 No RegularFort Myers Kimberly Regenesis LLC Suncoast C20 Intensive Outpatient Treatment COMP-026725 LIC-1045488 47-5557596 SITE-00004541 6290 Corporate Court 33919 Lee (239) 313-0296 4/29/2020 Private 0 No Interim

Source: PLADS Page 20 of 95

Page 21: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Fort Myers Kimberly Regenesis LLC Suncoast C20 Outpatient Treatment COMP-026727 LIC-1045119 47-5557596 SITE-00004541 6290 Corporate Court 33919 Lee (239) 313-0296 4/29/2020 Private 0 No InterimFort Myers Major Impact, Inc. Suncoast C20 Outpatient Treatment COMP-024821 LIC-1046075 30-0572405 SITE-00002857 1960 Velasco Street 33916 Lee (239) 226-4357 6/28/2020 Public 0 No RegularFORT MYERS Nextep Counseling and Clinical Services,

LLCSuncoast C20 Day or Night Treatment COMP-026246 LIC-1045464 47-1886563 SITE-00004460 6313 CORPORATE CT 33919-

3509Lee (239) 292-4907 1/18/2021 Private 0 Yes Regular

FORT MYERS Nextep Counseling and Clinical Services, LLC

Suncoast C20 Intensive Outpatient Treatment COMP-026247 LIC-1045463 47-1886563 SITE-00004460 6313 CORPORATE CT 33919-3509

Lee (239) 292-4907 1/18/2021 Private 0 Yes Regular

FORT MYERS Nextep Counseling and Clinical Services, LLC

Suncoast C20 Outpatient Treatment COMP-026245 LIC-1045465 47-1886563 SITE-00004460 6313 CORPORATE CT 33919-3509

Lee (239) 292-4907 1/18/2021 Private 0 Yes Regular

FORT MYERS Operation PAR, Inc. Suncoast C20 Satellite Maintenance COMP-025379 LIC-1046667 59-1349234 SITE-00004343 17240 S TAMIAMI TRL 33908-4566

Lee (727) 545-7564 12/1/2020 Public 0 Yes Regular

Fort Myers PACE Center for Girls, Inc. Suncoast C20 Level 1 Prevention COMP-024217 LIC-1045495 59-2414492 SITE-00000320 3800 Evans Avenue 33901 Lee (904) 448-8002 6/6/2020 Public 0 No RegularFort Myers PACE Center for Girls, Inc. Suncoast C20 Level 2 Prevention COMP-024218 LIC-1045494 59-2414492 SITE-00000320 3800 Evans Avenue 33901 Lee (904) 448-8002 6/6/2020 Public 0 No RegularFort Myers Pearl Recovery Center Inc. Suncoast C20 Intensive Outpatient Treatment COMP-025782 LIC-1047002 81-4684657 SITE-00004848 1930 Park Meadows Dr. 33907 Lee (239) 771-8755 11/12/2020 Private 0 No Regular

Fort Myers Pearl Recovery Center Inc. Suncoast C20 Outpatient Treatment COMP-025783 LIC-1047003 81-4684657 SITE-00004848 1930 Park Meadows Dr. 33907 Lee (239) 771-8755 11/12/2020 Private 0 No Regular

FORT MYERS SalusCare, Inc. Suncoast C20 Addictions Receiving Facility COMP-023937 LIC-1045901 59-1287693 SITE-00004323 CCSU- 10140 DEER RUN FARMS ROAD 33966 Lee (239) 275-3222 6/29/2020 Public 16 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Aftercare COMP-023928 LIC-1045823 59-1287693 SITE-00002272 3763 Evans Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 No RegularFort Myers SalusCare, Inc. Suncoast C20 Aftercare COMP-024053 LIC-1045823 59-1287693 SITE-00002276 2516 Grand Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 No RegularFort Myers SalusCare, Inc. Suncoast C20 Aftercare COMP-023935 LIC-1045823 59-1287693 SITE-00002288 2450 Prince Street 33916 Lee (239) 275-3222 6/29/2020 Public 0 No RegularFort Myers SalusCare, Inc. Suncoast C20 Case Management COMP-023926 LIC-1045824 59-1287693 SITE-00001228 2789 Ortiz Ave. 33905 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Case Management COMP-023929 LIC-1045824 59-1287693 SITE-00002272 3763 Evans Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Case Management COMP-023933 LIC-1045824 59-1287693 SITE-00002276 2516 Grand Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Day or Night Treatment COMP-023931 LIC-1045828 59-1287693 SITE-00002276 2516 Grand Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Employee Assistance Program COMP-023923 LIC-1045821 59-1287693 SITE-00002292 3949 Evans Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Inpatient Detoxification COMP-023922 LIC-1045820 59-1287693 SITE-00002272 3763 Evans Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 29 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Outpatient Treatment COMP-023927 LIC-1045822 59-1287693 SITE-00001228 2789 Ortiz Ave. 33905 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Outpatient Treatment COMP-023930 LIC-1045822 59-1287693 SITE-00002272 3763 Evans Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 0 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Residential Level 1 COMP-023934 LIC-1045825 59-1287693 SITE-00002276 2516 Grand Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 20 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Residential Level 2 COMP-023936 LIC-1045826 59-1287693 SITE-00002288 2450 Prince Street 33916 Lee (239) 275-3222 6/29/2020 Public 20 Yes RegularFort Myers SalusCare, Inc. Suncoast C20 Residential Level 4 COMP-023932 LIC-1045827 59-1287693 SITE-00002276 2516 Grand Avenue 33901 Lee (239) 275-3222 6/29/2020 Public 30 Yes RegularFORT MYERS Salvation Army Suncoast C20 Aftercare COMP-022647 LIC-1045331 58-0660607 SITE-00000589 2400 EDISON AVE 33901-

5106Lee (813) 383-5789 3/3/2020 Public 0 No Regular

FORT MYERS Salvation Army Suncoast C20 Residential Level 2 COMP-022644 LIC-1045316 58-0660607 SITE-00000589 2400 EDISON AVE 33901-5106

Lee (813) 383-5789 3/3/2020 Public 47 No Regular

Fort Myers Saranda, Inc. Suncoast C20 Intensive Outpatient Treatment COMP-026533 LIC-1047091 61-1795110 SITE-00004839 2710 Swamp Cabbage Court 33901 Lee (239) 666-4545 1/15/2021 Private 0 No RegularFort Myers Saranda, Inc. Suncoast C20 Outpatient Treatment COMP-026532 LIC-1047090 61-1795110 SITE-00004839 2710 Swamp Cabbage Court 33901 Lee (239) 666-4545 1/15/2021 Private 0 No RegularFORT MYERS Sinfonia Family Services of Florida, Inc. Suncoast C20 Outpatient Treatment COMP-026038 LIC-1046912 47-1409713 SITE-00003606 3820 COLONIAL BLVD STE 200 33966-

1094Lee (352) 505-3534 12/9/2020 Private 0 Yes Regular

Fort Myers The Center for Progress and Excellence Inc.

Suncoast C20 Outpatient Treatment COMP-022984 LIC-1045128 47-4810710 SITE-00004361 6360 Techster Boulevard 33966 Lee (239) 689-8490 3/4/2020 Private 0 No Regular

Fort Myers The Center for Progress and Excellence Inc.

Suncoast C20 Outpatient Treatment COMP-025352 LIC-1045128 47-4810710 SITE-00005243 11940 Fairway Lakes Drive 33913 Lee (239) 689-8490 3/4/2020 Private 0 No Interim

Fort Myers WSOP Services, LLC Suncoast C20 Day or Night Treatment COMP-027174 LIC-1047353 83-2184956 SITE-00005271 1820 Colonial Blvd 33907 Lee (239) 895-0610 2/21/2021 Private 0 Yes RegularFort Myers WSOP Services, LLC Suncoast C20 Day or Night Treatment with

Community HousingCOMP-026521 LIC-1047123 83-2184956 SITE-00004977 14150 Metropolis Ave 33912 Lee (239) 895-0610 2/21/2021 Private 0 Yes Regular

Fort Myers WSOP Services, LLC Suncoast C20 Day or Night Treatment with Community Housing

COMP-027173 LIC-1047123 83-2184956 SITE-00005271 1820 Colonial Blvd 33907 Lee (239) 895-0610 2/21/2021 Private 0 Yes Regular

Fort Myers WSOP Services, LLC Suncoast C20 Intensive Outpatient Treatment COMP-026519 LIC-1047124 83-2184956 SITE-00004977 14150 Metropolis Ave 33912 Lee (239) 895-0610 2/21/2021 Private 0 Yes RegularFort Myers WSOP Services, LLC Suncoast C20 Intensive Outpatient Treatment COMP-027175 LIC-1047124 83-2184956 SITE-00005271 1820 Colonial Blvd 33907 Lee (239) 895-0610 2/21/2021 Private 0 Yes RegularFort Myers WSOP Services, LLC Suncoast C20 Outpatient Treatment COMP-026520 LIC-1047127 83-2184956 SITE-00004977 14150 Metropolis Ave 33912 Lee (239) 895-0610 2/21/2021 Private 0 Yes Regular

Source: PLADS Page 21 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Fort Myers WSOP Services, LLC Suncoast C20 Outpatient Treatment COMP-027176 LIC-1047127 83-2184956 SITE-00005271 1820 Colonial Blvd 33907 Lee (239) 895-0610 2/21/2021 Private 0 Yes RegularFORT PIERCE Beachside Detox, LLC Southeast C19 Inpatient Detoxification COMP-026467 LIC-1045177 32-0532792 SITE-00004431 912 AVENUE I 34950-

2237St. Lucie (772) 252-1125 2/18/2021 Private 12 Yes Regular

FORT PIERCE Beachside Detox, LLC Southeast C19 Residential Level 1 COMP-026502 LIC-1045176 32-0532792 SITE-00004431 912 AVENUE I 34950-2237

St. Lucie (772) 252-1125 2/18/2021 Private 4 Yes Regular

Fort Pierce Camelot Community Care, Inc. Southeast C19 Outpatient Treatment COMP-024013 LIC-1047152 31-1659302 SITE-00004897 1301 Bell Avenue 34982 St. Lucie (727) 593-0003 4/1/2020 Public 0 Yes RegularFort Pierce CFSATC Inc. Southeast C19 Medication And Methadone

Maintenance TreatmentCOMP-023104 LIC-1045829 59-2311257 SITE-00000964 1302 North Lawnwood Circle 34950 St. Lucie (407) 843-0041 4/8/2020 Private 0 Yes Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 Aftercare COMP-023329 LIC-1045736 65-0988051 SITE-00001165 4753 Orange Avenue 34947 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 Day or Night Treatment COMP-023330 LIC-1045737 65-0988051 SITE-00001165 4753 Orange Avenue 34947 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 General Intervention COMP-023328 LIC-1045738 65-0988051 SITE-00001165 4753 Orange Avenue 34947 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 Outpatient Treatment COMP-023364 LIC-1045743 65-0988051 SITE-00001165 4753 Orange Avenue 34947 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 Outpatient Treatment COMP-023417 LIC-1045743 65-0988051 SITE-00004624 2504 Acorn Street 34947 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Counseling and Recovery Center, Inc. Southeast C19 Residential Level 2 COMP-023331 LIC-1045735 65-0988051 SITE-00001169 1025 Orange Avenue 34950 St. Lucie (772) 467-3057 4/7/2020 Public 0 No Regular

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 General Intervention COMP-023162 LIC-1045787 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 0 Yes Regular

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 Level 1 Prevention COMP-023164 LIC-1045788 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 0 Yes Interim 2nd

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 Level 2 Prevention COMP-023163 LIC-1045766 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 0 Yes Regular

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 Outpatient Treatment COMP-023161 LIC-1045747 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 0 Yes Interim 2nd

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 Residential Level 2 COMP-023174 LIC-1045748 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 20 Yes Regular

Fort Pierce Drug Abuse Treatment Association, Inc. (DATA)

Southeast C19 Treatment Alternatives for Safer Communities

COMP-023444 LIC-1045749 59-1363887 SITE-00000885 4590 Selvitz Road 34981 St. Lucie (561) 743-1034 5/25/2020 Public 0 Yes Regular

FORT PIERCE Florida Center For Recovery, Inc. Southeast C19 Day or Night Treatment COMP-026006 LIC-1046885 04-3698633 SITE-00000835 3451 W MIDWAY RD 34981-4960

St. Lucie (772) 460-2777 4/27/2020 Private 0 Yes Interim 2nd

Fort Pierce Florida Center For Recovery, Inc. Southeast C19 Inpatient Detoxification COMP-026004 LIC-1046883 04-3698633 SITE-00004698 3463 West Midway Road 34981 St. Lucie (772) 460-2777 4/27/2020 Private 18 Yes Interim 2ndFort Pierce Florida Center For Recovery, Inc. Southeast C19 Residential Level 1 COMP-026005 LIC-1046884 04-3698633 SITE-00004698 3463 West Midway Road 34981 St. Lucie (772) 460-2777 4/27/2020 Private 54 Yes Interim 2ndFort Pierce New Horizons of the Treasure Coast,

Inc.Southeast C19 Addictions Receiving Facility COMP-023384 LIC-1045647 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Private 20 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 General Intervention COMP-023429 LIC-1045648 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Public 0 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Inpatient Detoxification COMP-023392 LIC-1045641 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Private 20 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Level 1 Prevention COMP-023386 LIC-1045643 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Public 0 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Level 1 Prevention COMP-023390 LIC-1045643 59-6153749 SITE-00001013 709 South 5th Street 34950 St. Lucie (772) 468-5600 4/23/2020 Public 0 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Level 2 Prevention COMP-023376 LIC-1045649 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Public 0 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Outpatient Treatment COMP-023382 LIC-1045619 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Private 0 Yes Regular

Source: PLADS Page 22 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Outpatient Treatment COMP-023396 LIC-1045619 59-6153749 SITE-00001013 709 South 5th Street 34950 St. Lucie (772) 468-5600 4/23/2020 Public 0 Yes Regular

Fort Pierce New Horizons of the Treasure Coast, Inc.

Southeast C19 Residential Level 2 COMP-023091 LIC-1045642 59-6153749 SITE-00001001 4500 West Midway Road 34981 St. Lucie (772) 468-5600 4/23/2020 Private 12 Yes Regular

Fort Pierce Office of the Public Defender 19th Judicial Circuit

Southeast C19 General Intervention COMP-024589 LIC-1046512 65-1148284 SITE-00002537 900 N Rock Road 34945 St. Lucie (772) 462-2048 7/18/2020 Public 0 No Regular

Fort Pierce OH Marketing Services, Inc Southeast C19 Day or Night Treatment with Community Housing

COMP-023564 LIC-1045694 46-1708580 SITE-00002553 300 S. 6th Street 34950 St. Lucie (772) 252-1125 4/8/2020 Private 0 Yes Regular

Fort Pierce OH Marketing Services, Inc Southeast C19 Intensive Outpatient Treatment COMP-023571 LIC-1045695 46-1708580 SITE-00002553 300 S. 6th Street 34950 St. Lucie (772) 252-1125 4/8/2020 Private 0 Yes RegularFort Pierce OH Marketing Services, Inc Southeast C19 Outpatient Treatment COMP-023572 LIC-1045696 46-1708580 SITE-00002553 300 S. 6th Street 34950 St. Lucie (772) 252-1125 4/8/2020 Private 0 Yes RegularFORT PIERCE PACE Center for Girls, Inc. Southeast C19 Level 1 Prevention COMP-024250 LIC-1045495 59-2414492 SITE-00003040 3651 VIRGINIA AVE 34981-

5543St. Lucie (904) 448-8002 6/6/2020 Public 0 No Regular

FORT PIERCE PACE Center for Girls, Inc. Southeast C19 Level 2 Prevention COMP-024251 LIC-1045494 59-2414492 SITE-00003040 3651 VIRGINIA AVE 34981-5543

St. Lucie (904) 448-8002 6/6/2020 Public 0 No Regular

Fort Pierce PAS Substance Abuse Inc. Southeast C19 Intensive Outpatient Treatment COMP-025950 LIC-1046167 81-2557388 SITE-00003219 2017 Avenue D 34950 St. Lucie (772) 486-0733 12/2/2020 Private 0 No RegularFort Pierce PAS Substance Abuse Inc. Southeast C19 Outpatient Treatment COMP-025949 LIC-1046166 81-2557388 SITE-00003219 2017 Avenue D 34950 St. Lucie (772) 486-0733 12/2/2020 Private 0 No RegularFORT PIERCE The C.O.R.E. Program, Inc. Southeast C19 General Intervention COMP-026296 LIC-1045188 59-1719923 SITE-00000950 800 VIRGINIA AVE 34982-

5886St. Lucie (772) 286-7352 4/22/2020 Private 0 No Interim 2nd

FORT PIERCE Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-025606 LIC-1045210 20-4128112 SITE-00001791 800 VIRGINIA AVE 34982-5887

St. Lucie (772) 286-8933 10/20/2020 Public 0 No Regular

FORT PIERCE Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-025789 LIC-1046746 20-4128112 SITE-00001791 800 VIRGINIA AVE 34982-5887

St. Lucie (772) 286-8933 10/20/2020 Private 0 No Regular

Fort Walton Beach Bridgeway Center, Inc. Northwest C01 Aftercare COMP-023620 LIC-1045790 59-1278085 SITE-00001332 137 Hospital Drive 32548 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularFort Walton Beach Bridgeway Center, Inc. Northwest C01 Case Management COMP-023793 LIC-1047145 59-1278085 SITE-00001332 137 Hospital Drive 32548 Okaloosa (850) 833-7500 3/18/2020 Public 0 Yes RegularFort Walton Beach Bridgeway Center, Inc. Northwest C01 Intensive Outpatient Treatment COMP-023619 LIC-1045796 59-1278085 SITE-00001332 137 Hospital Drive 32548 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularFort Walton Beach Bridgeway Center, Inc. Northwest C01 Outpatient Treatment COMP-023623 LIC-1045791 59-1278085 SITE-00001332 137 Hospital Drive 32548 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularFort Walton Beach Bridgeway Center, Inc. Northwest C01 Outpatient Treatment COMP-023651 LIC-1045791 59-1278085 SITE-00002589 333 Lewis Street 32548 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes RegularFort Walton Beach Bridgeway Center, Inc. Northwest C01 Outpatient Treatment COMP-026474 LIC-1045791 59-1278085 SITE-00005331 205 D Shell Avenue 32548 Okaloosa (850) 833-7500 4/1/2020 Public 0 Yes ProbationaryFort Walton Beach Bridgeway Center, Inc. Northwest C01 Treatment Alternatives for Safer

CommunitiesCOMP-023622 LIC-1045789 59-1278085 SITE-00001332 137 Hospital Drive 32548 Okaloosa (850) 833-7500 5/1/2020 Public 0 Yes Regular

Fort Walton Beach Gulf Coast Treatment Center, Inc. Northwest C01 Outpatient Treatment COMP-025688 LIC-1046913 56-1341134 SITE-00001249 1015 Mar Walt Drive 32547 Okaloosa (850) 863-4160 10/30/2020 Public 0 Yes Regular

Fort Walton Beach JourneyPure Panhandle, LLC Northwest C01 Day or Night Treatment COMP-024407 LIC-1046117 47-1156415 SITE-00004815 348 Miracle Strip Pkwy SW 32548 Okaloosa (850) 249-4300 6/30/2020 Private 0 Yes RegularFort Walton Beach JourneyPure Panhandle, LLC Northwest C01 Intensive Outpatient Treatment COMP-024406 LIC-1046119 47-1156415 SITE-00004815 348 Miracle Strip Pkwy SW 32548 Okaloosa (850) 249-4300 6/30/2020 Private 0 Yes RegularFort Walton Beach JourneyPure Panhandle, LLC Northwest C01 Outpatient Detoxification COMP-024275 LIC-1046116 47-1156415 SITE-00004815 348 Miracle Strip Pkwy SW 32548 Okaloosa (850) 249-4300 6/30/2020 Private 0 Yes RegularFort Walton Beach JourneyPure Panhandle, LLC Northwest C01 Outpatient Treatment COMP-024405 LIC-1046118 47-1156415 SITE-00004815 348 Miracle Strip Pkwy SW 32548 Okaloosa (850) 249-4300 6/30/2020 Private 0 Yes RegularFrostproof Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025514 LIC-1046571 59-1708182 SITE-00000536 1103 Hwy 98 West 33843 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularFT LAUDERDALE Counseling Mediation Education and

Treatment (CMET), LLCSoutheast C17 Outpatient Treatment COMP-026240 LIC-1046452 32-0344560 SITE-00000218 1527 NE 4TH AVE 33304-

1035Broward (954) 297-7396 3/17/2020 Private 0 No Probationary

FT LAUDERDALE Covenant House Florida Southeast C17 Aftercare COMP-024488 LIC-1046447 59-2323607 SITE-00000385 733 BREAKERS AVE 33304-4116

Broward (954) 561-5559 7/22/2020 Private 0 Yes Regular

FT LAUDERDALE Covenant House Florida Southeast C17 Residential Level 2 COMP-024487 LIC-1046448 59-2323607 SITE-00000385 733 BREAKERS AVE 33304-4116

Broward (954) 561-5559 7/22/2020 Private 20 Yes Regular

FT LAUDERDALE Florida Addiction and Recovery Center Inc

Southeast C17 Day or Night Treatment COMP-026471 LIC-1045232 47-5088007 SITE-00001899 3601 W COMMERCIAL BLVD STE 35 33309-3329

Broward (954) 677-8787 1/22/2021 Private 0 Yes Regular

FT LAUDERDALE Florida Addiction and Recovery Center Inc

Southeast C17 Day or Night Treatment with Community Housing

COMP-026470 LIC-1045146 47-5088007 SITE-00001899 3601 W COMMERCIAL BLVD STE 35 33309-3329

Broward (954) 677-8787 1/22/2021 Private 0 Yes Regular

FT LAUDERDALE Florida Addiction and Recovery Center Inc

Southeast C17 Intensive Outpatient Treatment COMP-026469 LIC-1045234 47-5088007 SITE-00001899 3601 W COMMERCIAL BLVD STE 35 33309-3329

Broward (954) 677-8787 1/22/2021 Private 0 Yes Regular

FT LAUDERDALE Florida Addiction and Recovery Center Inc

Southeast C17 Outpatient Treatment COMP-026468 LIC-1045233 47-5088007 SITE-00001899 3601 W COMMERCIAL BLVD STE 35 33309-3329

Broward (954) 677-8787 1/22/2021 Private 0 Yes Regular

Source: PLADS Page 23 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

FT LAUDERDALE Hanley Center Foundation Inc Southeast C17 Level 1 Prevention COMP-024518 LIC-1045481 20-2871945 SITE-00000317 1400 NW 14TH CT 33311-5426

Broward (561) 268-2350 6/30/2020 Public 0 Yes Regular

FT LAUDERDALE Our Solution, LLC Southeast C17 Day or Night Treatment COMP-024873 LIC-1046425 45-3067716 SITE-00004043 1830 SE 4TH AVE 33316-2878

Broward (954) 489-3031 8/31/2020 Private 0 Yes Regular

FT LAUDERDALE Our Solution, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-024822 LIC-1046423 45-3067716 SITE-00004043 1830 SE 4TH AVE 33316-2878

Broward (954) 489-3031 8/31/2020 Private 0 Yes Regular

FT LAUDERDALE Our Solution, LLC Southeast C17 Intensive Outpatient Treatment COMP-024874 LIC-1046422 45-3067716 SITE-00004043 1830 SE 4TH AVE 33316-2878

Broward (954) 489-3031 8/31/2020 Private 0 Yes Regular

FT LAUDERDALE Our Solution, LLC Southeast C17 Outpatient Treatment COMP-024875 LIC-1046424 45-3067716 SITE-00004043 1830 SE 4TH AVE 33316-2878

Broward (954) 489-3031 8/31/2020 Private 0 Yes Regular

FT LAUDERDALE Sunrise Detox III, LLC Southeast C17 Inpatient Detoxification COMP-024414 LIC-1046054 80-0705762 SITE-00001476 2331 NE 53RD ST 33308-3235

Broward (561) 318-4401 9/7/2020 Private 28 Yes Regular

FT LAUDERDALE Sunrise Detox III, LLC Southeast C17 Residential Level 1 COMP-024415 LIC-1046055 80-0705762 SITE-00001476 2331 NE 53RD ST 33308-3235

Broward (561) 318-4401 9/7/2020 Private 8 Yes Regular

FT LAUDERDALE The Beachcomber Rehabilitation, Inc. Southeast C17 Day or Night Treatment COMP-025751 LIC-1045141 59-1696573 SITE-00003123 1001 W COMMERCIAL BLVD 33309-3107

Broward (561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

FT LAUDERDALE The Beachcomber Rehabilitation, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025743 LIC-1045140 59-1696573 SITE-00003123 1001 W COMMERCIAL BLVD 33309-3107

Broward (561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

FT LAUDERDALE The Beachcomber Rehabilitation, Inc. Southeast C17 Outpatient Treatment COMP-025784 LIC-1045139 59-1696573 SITE-00003123 1001 W COMMERCIAL BLVD 33309-3107

Broward (561) 734-1818 4/26/2020 Private 0 Yes Interim 2nd

FT LAUDERDALE The Core Centers II, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-025825 LIC-1046947 46-3237220 SITE-00003517 2500 N FEDERAL HWY 33305-1618

Broward (305) 767-0570 4/8/2020 Private 0 Yes Interim

FT LAUDERDALE The Core Centers II, LLC Southeast C17 Intensive Outpatient Treatment COMP-025826 LIC-1046946 46-3237220 SITE-00003517 2500 N FEDERAL HWY 33305-1618

Broward (305) 767-0570 4/8/2020 Private 0 Yes Interim

FT LAUDERDALE The Core Centers II, LLC Southeast C17 Outpatient Treatment COMP-025785 LIC-1046945 46-3237220 SITE-00003517 2500 N FEDERAL HWY 33305-1618

Broward (305) 767-0570 4/8/2020 Private 0 Yes Interim

Gainesville Alachua County Board of County Commissioners

Northeast C08 Aftercare COMP-025820 LIC-1047049 59-6000501 SITE-00000155 249 West University Avenue 32601 Alachua (352) 384-3364 12/29/2020 Public 0 No Regular

GAINESVILLE Alachua County Board of County Commissioners

Northeast C08 Aftercare COMP-025888 LIC-1047049 59-6000501 SITE-00002453 4201 SW 21ST PL 32607-4282

Alachua (352) 384-3364 12/29/2020 Public 0 No Regular

GAINESVILLE Alachua County Board of County Commissioners

Northeast C08 General Intervention COMP-025819 LIC-1047047 59-6000501 SITE-00002453 4201 SW 21ST PL 32607-4282

Alachua (352) 384-3364 12/29/2020 Public 0 No Regular

GAINESVILLE Alachua County Board of County Commissioners

Northeast C08 Residential Level 2 COMP-025818 LIC-1047048 59-6000501 SITE-00002453 4201 SW 21ST PL 32607-4282

Alachua (352) 384-3364 12/29/2020 Public 21 No Regular

Gainesville AMIkids Behavioral Health, Inc. Northeast C08 Outpatient Treatment COMP-025656 LIC-1047069 59-2661387 SITE-00005173 6815 SW Archer Road 32608 Alachua (813) 887-3300 7/28/2020 Public 0 No RegularGainesville Bridges of Florida, Inc. Northeast C08 Aftercare COMP-025831 LIC-1046005 46-4672119 SITE-00001105 2901 NE 39th Avenue 32602 Alachua (407) 218-4800 12/19/2020 Public 0 Yes Regular

Gainesville Bridges of Florida, Inc. Northeast C08 General Intervention COMP-025832 LIC-1046010 46-4672119 SITE-00001105 2901 NE 39th Avenue 32602 Alachua (407) 218-4800 12/19/2020 Public 0 Yes Regular

Gainesville Bridges of Florida, Inc. Northeast C08 Outpatient Treatment COMP-025830 LIC-1046006 46-4672119 SITE-00001105 2901 NE 39th Avenue 32602 Alachua (407) 218-4800 12/19/2020 Public 0 Yes Regular

Gainesville Camelot Community Care, Inc. Northeast C08 Outpatient Treatment COMP-024202 LIC-1047152 31-1659302 SITE-00004817 3440 NE 39th Avenue 32609 Alachua (727) 593-0003 4/1/2020 Public 0 Yes RegularGAINESVILLE CDS Family & Behavioral Health

Services, Inc.Northeast C08 Level 1 Prevention COMP-026312 LIC-1045322 59-1435252 SITE-00002426 3615 SW 13TH ST 32608-

3540Alachua (352) 244-0628 1/1/2021 Public 0 Yes Regular

Gainesville Chemical Dependency Counseling, Inc. Northeast C08 Aftercare COMP-024339 LIC-1046659 59-2178947 SITE-00004808 215 SW3rd Avenue 32601 Alachua (904) 353-2949 4/16/2020 Public 0 No Regular

Gainesville Chemical Dependency Counseling, Inc. Northeast C08 Outpatient Treatment COMP-024338 LIC-1046451 59-2178947 SITE-00004808 215 SW3rd Avenue 32601 Alachua (904) 353-2949 4/16/2020 Public 0 No Regular

GAINESVILLE Discount Counseling Network, Inc. Northeast C08 General Intervention COMP-026223 LIC-1047331 27-0156516 SITE-00002495 4424 NW 13TH ST STE C8 32609-1885

Alachua (352) 332-9960 11/4/2020 Private 0 No Regular

Source: PLADS Page 24 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Gainesville Family Restoration Station Counseling Center, LLC

Northeast C08 General Intervention COMP-026025 LIC-1047323 83-1907845 SITE-00005245 912 NW 56 Terrace 32605 Alachua (352) 642-6487 10/9/2020 Private 0 No Regular

Gainesville Hanley Center Foundation Inc Northeast C08 Level 1 Prevention COMP-024541 LIC-1045481 20-2871945 SITE-00004649 2661 NW 51st Street 32606 Alachua (561) 268-2350 6/30/2020 Public 0 Yes RegularGainesville Henry & Rilla White Youth Foundation,

Inc.Northeast C08 Outpatient Treatment COMP-025137 LIC-1046709 59-2906946 SITE-00004836 2153 SE Hawthorne Rd 32641 Alachua (850) 922-8375 8/29/2020 Public 0 Yes Regular

GAINESVILLE ITM Group Northeast C08 Outpatient Treatment COMP-025170 LIC-1046499 01-0554517 SITE-00002705 1208 NW 6TH ST 32601-4245

Alachua (352) 379-2829 9/11/2020 Private 0 No Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Addictions Receiving Facility COMP-026049 LIC-1047339 59-1906214 SITE-00003679 1541 SW Williston Rd 32608 Alachua (352) 374-5600 3/28/2020 Public 12 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Aftercare COMP-023123 LIC-1046586 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Day or Night Treatment COMP-023127 LIC-1045516 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 General Intervention COMP-023116 LIC-1045524 59-1906214 SITE-00003028 4300 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Inpatient Detoxification COMP-023064 LIC-1045526 59-1906214 SITE-00003679 1541 SW Williston Rd 32608 Alachua (352) 374-5600 3/28/2020 Public 25 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Intensive Outpatient Treatment COMP-023126 LIC-1045515 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Level 1 Prevention COMP-023125 LIC-1045517 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Level 1 Prevention COMP-023118 LIC-1045517 59-1906214 SITE-00003028 4300 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Medication And Methadone Maintenance Treatment

COMP-023121 LIC-1045523 59-1906214 SITE-00003206 4310 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Detoxification COMP-023119 LIC-1045527 59-1906214 SITE-00004116 4316 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023124 LIC-1045518 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023117 LIC-1045518 59-1906214 SITE-00003028 4300 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023122 LIC-1045518 59-1906214 SITE-00003206 4310 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023120 LIC-1045518 59-1906214 SITE-00004116 4316 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 0 Yes Regular

Gainesville Meridian Behavioral Health Care, Inc. Northeast C08 Residential Level 2 COMP-023128 LIC-1045520 59-1906214 SITE-00002437 4400 SW 13th Street 32608 Alachua (352) 374-5600 3/28/2020 Public 66 Yes Regular

GAINESVILLE PACE Center for Girls, Inc. Northeast C08 Level 1 Prevention COMP-024239 LIC-1045495 59-2414492 SITE-00004442 1010 SE 4TH AVE 32601-6907

Alachua (904) 448-8002 6/6/2020 Public 0 No Regular

GAINESVILLE PACE Center for Girls, Inc. Northeast C08 Level 2 Prevention COMP-024240 LIC-1045494 59-2414492 SITE-00004442 1010 SE 4TH AVE 32601-6907

Alachua (904) 448-8002 6/6/2020 Public 0 No Regular

GAINESVILLE Sequel TSI of Florida LLC Northeast C08 Outpatient Treatment COMP-025630 LIC-1045297 27-1360815 SITE-00002402 3430 NE 39TH AVE 32609-2638

Alachua (256) 880-3339 10/25/2020 Public 0 No Regular

GAINESVILLE Sinfonia Family Services of Florida, Inc. Northeast C08 Outpatient Treatment COMP-026052 LIC-1046912 47-1409713 SITE-00002694 17 NW 33RD CT 32607-2552

Alachua (352) 505-3534 12/9/2020 Private 0 Yes Regular

GAINESVILLE UF Health Florida Recovery Center - Gainesville

Northeast C08 Day or Night Treatment COMP-025669 LIC-1046724 47-1324600 SITE-00000222 4001 SW 13TH ST 32608-3513

Alachua (352) 265-5500 11/30/2020 Private 0 Yes Regular

GAINESVILLE UF Health Florida Recovery Center - Gainesville

Northeast C08 Day or Night Treatment with Community Housing

COMP-025668 LIC-1046725 47-1324600 SITE-00000222 4001 SW 13TH ST 32608-3513

Alachua (352) 265-5500 11/29/2020 Private 0 Yes Regular

GAINESVILLE UF Health Florida Recovery Center - Gainesville

Northeast C08 Intensive Outpatient Treatment COMP-025670 LIC-1046641 47-1324600 SITE-00000222 4001 SW 13TH ST 32608-3513

Alachua (352) 265-5500 11/30/2020 Private 0 Yes Regular

Source: PLADS Page 25 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Gainesville White Sands Treatment Center Tampa, LLC

Northeast C08 Intensive Outpatient Treatment COMP-026714 LIC-1045400 81-3488022 SITE-00004914 3700 NW 91st St. 32606 Alachua (813) 756-5660 4/13/2020 Private 0 Yes Probationary

Gainesville White Sands Treatment Center Tampa, LLC

Northeast C08 Outpatient Treatment COMP-026715 LIC-1046607 81-3488022 SITE-00004914 3700 NW 91st St. 32606 Alachua (813) 756-5660 4/13/2020 Private 0 Yes Probationary

GRACEVILLE GEO Corrections and Detention, Inc Northwest C14 Intensive Outpatient Treatment COMP-022588 LIC-1045326 46-1258100 SITE-00000283 5168 EZELL RD 32440-2402

Jackson (863) 946-2420 1/13/2021 Public 0 No Regular

Graceville Twin Oaks Juvenile Development, Inc. Northwest C14 Outpatient Treatment COMP-024377 LIC-1046091 59-3512790 SITE-00001646 5270 Ezell Road 32440 Jackson (850) 643-1090 7/6/2020 Public 0 Yes Regular

Green Cove Springs Hanley Center Foundation Inc Northeast C04 Level 1 Prevention COMP-024097 LIC-1045481 20-2871945 SITE-00004666 Clay County School District 23 Green Street 32043 Clay (561) 268-2350 6/30/2020 Public 0 Yes Regular

GREENACRES Awaken Recovery Center, LLC Southeast C15 Day or Night Treatment COMP-025190 LIC-1046533 47-4537600 SITE-00001588 6040 LAKE WORTH RD 33463-4287

Palm Beach

(561) 676-6107 10/2/2020 Private 0 Yes Regular

GREENACRES Awaken Recovery Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025191 LIC-1046534 47-4537600 SITE-00001588 6040 LAKE WORTH RD 33463-4287

Palm Beach

(561) 676-6107 10/2/2020 Private 0 Yes Regular

GREENACRES Awaken Recovery Center, LLC Southeast C15 Outpatient Treatment COMP-025192 LIC-1046535 47-4537600 SITE-00001588 6040 LAKE WORTH RD 33463-4287

Palm Beach

(561) 676-6107 10/2/2020 Private 0 Yes Regular

Greenacres City Awareness Counseling Agency LLC Southeast C15 Outpatient Treatment COMP-026120 LIC-1046740 45-2556939 SITE-00003734 3900 Woodlake Boulevard 33463 Palm Beach

(561) 307-1766 12/8/2020 Private 0 No Regular

Greenacres City NR Florida Associates, LLC Southeast C15 Day or Night Treatment COMP-024712 LIC-1045904 46-2508915 SITE-00003417 6426 Melaluca Lane 33463 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

Greenacres City NR Florida Associates, LLC Southeast C15 Intensive Outpatient Treatment COMP-024713 LIC-1045908 46-2508915 SITE-00003417 6426 Melaluca Lane 33463 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

Greenacres City NR Florida Associates, LLC Southeast C15 Outpatient Treatment COMP-024714 LIC-1046068 46-2508915 SITE-00003417 6426 Melaluca Lane 33463 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

GREENVILLE Honey Lake Clinic, Inc. Northeast C03 Day or Night Treatment with Community Housing

COMP-024355 LIC-1046450 82-0770125 SITE-00003738 1290 NW HONEY LAKE RD 32331-4075

Madison (904) 813-8573 7/29/2020 Private 20 Yes Regular

GREENVILLE Honey Lake Clinic, Inc. Northeast C03 Inpatient Detoxification COMP-024353 LIC-1046439 82-0770125 SITE-00003738 1290 NW HONEY LAKE RD 32331-4075

Madison (904) 813-8573 7/29/2020 Private 10 Yes Regular

GREENVILLE Honey Lake Clinic, Inc. Northeast C03 Intensive Outpatient Treatment COMP-024356 LIC-1046449 82-0770125 SITE-00003738 1290 NW HONEY LAKE RD 32331-4075

Madison (904) 813-8573 7/29/2020 Private 0 Yes Regular

GREENVILLE Honey Lake Clinic, Inc. Northeast C03 Residential Level 2 COMP-024354 LIC-1046440 82-0770125 SITE-00003738 1290 NW HONEY LAKE RD 32331-4075

Madison (904) 813-8573 7/29/2020 Private 20 Yes Regular

Greenville Rite of Passage Inc. Northeast C03 Outpatient Treatment COMP-023992 LIC-1046229 88-0235002 SITE-00003224 950 Southwest Greenville Hills Road 32331 Madison (352) 717-3694 3/23/2020 Public 0 No RegularGREENVILLE Twin Oaks Juvenile Development, Inc. Northeast C03 Outpatient Treatment COMP-021024 LIC-1046091 59-3512790 SITE-00001748 823 SW GREENVILLE HILLS RD 32331-

3113Madison (850) 643-1090 7/6/2020 Public 0 Yes Regular

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Aftercare COMP-023626 LIC-1045774 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 5/13/2020 Private 0 Yes Regular

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Day or Night Treatment COMP-026304 LIC-1047359 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 4/1/2020 Private 0 Yes Probationary

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Inpatient Detoxification COMP-023625 LIC-1045775 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 5/13/2020 Private 5 Yes Regular

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Intensive Outpatient Treatment COMP-026307 LIC-1047360 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 4/1/2020 Private 0 Yes Probationary

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Outpatient Treatment COMP-026308 LIC-1047361 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 4/1/2020 Private 0 Yes Probationary

Gulf Breeze Gulf Breeze Treatment Center, LLC Northwest C01 Residential Level 2 COMP-023604 LIC-1045776 45-3482369 SITE-00002238 350 Pensacola Beach Boulevard 32561 Santa Rosa (850) 934-0790 5/13/2020 Private 35 Yes Regular

Gulf Breeze LAKEVIEW CENTER, INC. Northwest C01 Day or Night Treatment COMP-023802 LIC-1045621 59-0737872 SITE-00001296 4400 Hickory Shores Blvd. 32563 Santa Rosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

Gulf Breeze LAKEVIEW CENTER, INC. Northwest C01 Inpatient Detoxification COMP-023809 LIC-1045654 59-0737872 SITE-00001296 4400 Hickory Shores Blvd. 32563 Santa Rosa (850) 469-3500 3/29/2020 Public 12 Yes Regular

Source: PLADS Page 26 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Gulf Breeze LAKEVIEW CENTER, INC. Northwest C01 Intensive Outpatient Treatment COMP-023776 LIC-1045620 59-0737872 SITE-00001314 1830 Hickory Shores Road 32563 Santa Rosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

Gulf Breeze LAKEVIEW CENTER, INC. Northwest C01 Residential Level 1 COMP-023803 LIC-1045650 59-0737872 SITE-00001296 4400 Hickory Shores Blvd. 32563 Santa Rosa (850) 469-3500 3/29/2020 Public 18 Yes Regular

Haines City Professional Counseling Associates Center

Central C10 Outpatient Treatment COMP-026179 LIC-1046996 47-5222551 SITE-00004841 360 S 10th ST 33844 Polk (321) 442-6665 5/28/2020 Private 0 No Interim 2nd

Hallandale WAR Network LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-026801 LIC-1047118 61-1890618 SITE-00004863 137 SE 1st Avenue 33009 Broward (305) 546-3369 2/6/2021 Private 0 Yes Regular

Hallandale WAR Network LLC Southeast C17 Intensive Outpatient Treatment COMP-026802 LIC-1047117 61-1890618 SITE-00004863 137 SE 1st Avenue 33009 Broward (305) 546-3369 2/6/2021 Private 0 Yes RegularHallandale WAR Network LLC Southeast C17 Outpatient Treatment COMP-026803 LIC-1047116 61-1890618 SITE-00004863 137 SE 1st Avenue 33009 Broward (305) 546-3369 2/6/2021 Private 0 Yes RegularHastings TrueCore Behavioral Solutions, LLC Northeast C07 Level 1 Prevention COMP-023475 LIC-1045567 54-1859903 SITE-00002242 765 East St. Johns Avenue 32145 St. Johns (813) 514-6275 4/7/2020 Public 0 Yes RegularHastings TrueCore Behavioral Solutions, LLC Northeast C07 Outpatient Treatment COMP-023476 LIC-1045557 54-1859903 SITE-00002242 765 East St. Johns Avenue 32145 St. Johns (813) 514-6275 4/7/2020 Public 0 Yes RegularHavana Gateway Foundation, Inc. Northwest C02 Intensive Outpatient Treatment COMP-026535 LIC-1046307 36-2670036 SITE-00004790 630 Opportunity Lane 32333 Gadsden (312) 663-1130 3/25/2020 Public 0 No ProbationaryHavana Gateway Foundation, Inc. Northwest C02 Level 1 Prevention COMP-024682 LIC-1046478 36-2670036 SITE-00004790 630 Opportunity Lane 32333 Gadsden (312) 663-1130 5/11/2020 Public 0 No RegularHIALEAH CITRUS HEALTH NETWORK Southern C11 Addictions Receiving Facility COMP-024179 LIC-1046461 59-1865751 SITE-00000548 4175 W 20TH AVE 33012-

5874Dade (305) 424-3100 7/1/2020 Public 16 Yes Regular

HIALEAH CITRUS HEALTH NETWORK Southern C11 General Intervention COMP-024180 LIC-1046340 59-1865751 SITE-00000548 4175 W 20TH AVE 33012-5874

Dade (305) 424-3100 7/1/2020 Public 0 Yes Regular

Hialeah CITRUS HEALTH NETWORK Southern C11 General Intervention COMP-024181 LIC-1046340 59-1865751 SITE-00001432 551 West 51 Place 33012 Dade (305) 424-3100 7/1/2020 Public 0 Yes RegularHialeah CITRUS HEALTH NETWORK Southern C11 Level 1 Prevention COMP-024182 LIC-1046463 59-1865751 SITE-00001432 551 West 51 Place 33012 Dade (305) 424-3100 7/1/2020 Public 0 Yes RegularHialeah CITRUS HEALTH NETWORK Southern C11 Level 2 Prevention COMP-024183 LIC-1046462 59-1865751 SITE-00001432 551 West 51 Place 33012 Dade (305) 424-3100 7/1/2020 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Aftercare COMP-026133 LIC-1045682 23-7063810 SITE-00001630 4160 West 16th Avenue, Suite 306 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Case Management COMP-026136 LIC-1045616 23-7063810 SITE-00003830 4160 W. 16 Avenue Suite 308/309 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 General Intervention COMP-026132 LIC-1045687 23-7063810 SITE-00001630 4160 West 16th Avenue, Suite 306 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Intensive Outpatient Treatment COMP-026158 LIC-1045688 23-7063810 SITE-00003830 4160 W. 16 Avenue Suite 308/309 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Level 1 Prevention COMP-026150 LIC-1045686 23-7063810 SITE-00001630 4160 West 16th Avenue, Suite 306 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Level 2 Prevention COMP-026151 LIC-1045685 23-7063810 SITE-00001630 4160 West 16th Avenue, Suite 306 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Concept Health Systems, Inc. Southern C11 Outpatient Treatment COMP-026157 LIC-1045689 23-7063810 SITE-00003830 4160 W. 16 Avenue Suite 308/309 33012 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularHialeah Dade Family Counseling, Inc. Southern C11 Aftercare COMP-025643 LIC-1046653 65-0154459 SITE-00005266 2300 W 84 Street, Suite 409 33016 Dade (305) 827-3252 6/27/2020 Private 0 No RegularHialeah Dade Family Counseling, Inc. Southern C11 Outpatient Treatment COMP-025641 LIC-1046249 65-0154459 SITE-00005266 2300 W 84 Street, Suite 409 33016 Dade (305) 827-3252 6/27/2020 Private 0 No RegularHialeah Florida Life Recovery & Rehabilitation

LLCSouthern C11 Day or Night Treatment with

Community HousingCOMP-024699 LIC-1046364 82-1294142 SITE-00005129 590 E. 49th Street 33014 Dade (786) 553-5374 7/2/2020 Private 0 No Regular

Hialeah Florida Life Recovery & Rehabilitation LLC

Southern C11 Intensive Outpatient Treatment COMP-024697 LIC-1046363 82-1294142 SITE-00005129 590 E. 49th Street 33014 Dade (786) 553-5374 7/2/2020 Private 0 No Regular

Hialeah Florida Life Recovery & Rehabilitation LLC

Southern C11 Outpatient Treatment COMP-024698 LIC-1046248 82-1294142 SITE-00005129 590 E. 49th Street 33014 Dade (786) 553-5374 7/2/2020 Private 0 No Regular

Hialeah Jessie Trice Community Health Center, Inc.

Southern C11 Outpatient Treatment COMP-023962 LIC-1046174 59-1235617 SITE-00003696 901 East 10th Ave Bay #39 33010 Dade (305) 805-1700 5/31/2020 Public 0 Yes Regular

Hialeah Lifestar Mental Wellness Center Inc. Southern C11 Day or Night Treatment COMP-026267 LIC-1047371 46-2407592 SITE-00005309 2050 W 56 St 33016 Dade (305) 557-1555 4/15/2020 Private 0 No Probationary

Hialeah Lifestar Mental Wellness Center Inc. Southern C11 Intensive Outpatient Treatment COMP-026266 LIC-1047369 46-2407592 SITE-00005309 2050 W 56 St 33016 Dade (305) 557-1555 4/15/2020 Private 0 No Probationary

Hialeah Lifestar Mental Wellness Center Inc. Southern C11 Outpatient Treatment COMP-026265 LIC-1047370 46-2407592 SITE-00005309 2050 W 56 St 33016 Dade (305) 557-1555 4/15/2020 Private 0 No Probationary

Hialeah Gardens Well-Being Community Center Corp Southern C11 Outpatient Treatment COMP-025609 LIC-1047296 82-3150293 SITE-00005261 3414 W 84 St 33018 Dade (305) 733-6223 9/1/2020 Private 0 No Regular

Highland City Tri-County Human Services, Inc. Central C10 Aftercare COMP-025498 LIC-1046570 59-1708182 SITE-00002824 5421 U.S. Hwy 98 South 33846 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularHighland City Tri-County Human Services, Inc. Central C10 Case Management COMP-025496 LIC-1046576 59-1708182 SITE-00002824 5421 U.S. Hwy 98 South 33846 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularHighland City Tri-County Human Services, Inc. Central C10 Intensive Outpatient Treatment COMP-025493 LIC-1046532 59-1708182 SITE-00002824 5421 U.S. Hwy 98 South 33846 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularHighland City Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025495 LIC-1046571 59-1708182 SITE-00002824 5421 U.S. Hwy 98 South 33846 Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

Source: PLADS Page 27 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Hilliard Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 General Intervention COMP-023574 LIC-1045914 59-3029469 SITE-00001978 371015 Eastwood Road 32046 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Hilliard Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 Outpatient Treatment COMP-023573 LIC-1045912 59-3029469 SITE-00001978 371015 Eastwood Road 32046 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Hobe Sound BWS RECOVERY, LLC d/b/a Voyage Recovery Center

Southeast C19 Day or Night Treatment with Community Housing

COMP-023896 LIC-1046720 81-4348194 SITE-00003535 11181 SE Federal Hwy Suites 1 and 2 33455 Martin (772) 245-8345 4/12/2020 Private 0 Yes Regular

Hobe Sound BWS RECOVERY, LLC d/b/a Voyage Recovery Center

Southeast C19 Intensive Outpatient Treatment COMP-023898 LIC-1046494 81-4348194 SITE-00003535 11181 SE Federal Hwy Suites 1 and 2 33455 Martin (772) 245-8345 4/12/2020 Private 0 Yes Regular

Hobe Sound BWS RECOVERY, LLC d/b/a Voyage Recovery Center

Southeast C19 Outpatient Treatment COMP-023897 LIC-1046495 81-4348194 SITE-00003535 11181 SE Federal Hwy Suites 1 and 2 33455 Martin (772) 245-8345 4/12/2020 Private 0 Yes Regular

Hobe Sound Treatment Centers of America, LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-025868 LIC-1047083 82-4549783 SITE-00004975 10770 SE Federal Hwy 33455 Martin (561) 568-1770 11/12/2020 Private 0 No Regular

Hobe Sound Treatment Centers of America, LLC Southeast C19 Intensive Outpatient Treatment COMP-025869 LIC-1047085 82-4549783 SITE-00004975 10770 SE Federal Hwy 33455 Martin (561) 568-1770 11/12/2020 Private 0 No Regular

Hobe Sound Treatment Centers of America, LLC Southeast C19 Outpatient Treatment COMP-025870 LIC-1047084 82-4549783 SITE-00004975 10770 SE Federal Hwy 33455 Martin (561) 568-1770 11/12/2020 Private 0 No Regular

Hobe Sound Unity Behavioral Health LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-025341 LIC-1046529 81-3924024 SITE-00004406 11900 SE Federal Hwy 33455 Martin (561) 596-8073 5/7/2020 Private 0 Yes Regular

Hobe Sound Unity Behavioral Health LLC Southeast C19 Intensive Outpatient Treatment COMP-025342 LIC-1046528 81-3924024 SITE-00004406 11900 SE Federal Hwy 33455 Martin (561) 596-8073 5/7/2020 Private 0 Yes RegularHOLLYWOOD Affordable & Convenient Counseling,

LLCSoutheast C17 Outpatient Treatment COMP-025058 LIC-1045231 45-4301504 SITE-00002102 2416 HOLLYWOOD BLVD 33020-

6607Broward (305) 901-5500 7/21/2020 Private 0 No Regular

Hollywood Broward Regional Health Planning Council, Inc.

Southeast C17 Case Management COMP-023910 LIC-1045859 59-2274772 SITE-00004620 200 Oakwood Lane 33020 Broward (954) 056-1968 x1

4/1/2020 Public 0 Yes Regular

Hollywood Broward Regional Health Planning Council, Inc.

Southeast C17 General Intervention COMP-023911 LIC-1045884 59-2274772 SITE-00004620 200 Oakwood Lane 33020 Broward (954) 056-1968 x1

4/1/2020 Public 0 Yes Regular

Hollywood Broward Regional Health Planning Council, Inc.

Southeast C17 Level 2 Prevention COMP-023525 LIC-1045885 59-2274772 SITE-00004620 200 Oakwood Lane 33020 Broward (954) 056-1968 x1

4/1/2020 Public 0 Yes Regular

HOLLYWOOD Clear Shores, Inc. Southeast C17 Day or Night Treatment COMP-025736 LIC-1046617 47-2962212 SITE-00001592 1 OAKWOOD BLVD 33020-1954

Broward (954) 777-7091 10/5/2020 Private 0 Yes Regular

Hollywood Clear Shores, Inc. Southeast C17 Day or Night Treatment COMP-025738 LIC-1046617 47-2962212 SITE-00004415 1 Oakwood Boulevard, Suite Suite 170 33020 Broward (954) 777-7091 10/5/2020 Private 0 Yes RegularHOLLYWOOD Clear Shores, Inc. Southeast C17 Day or Night Treatment with

Community HousingCOMP-025733 LIC-1046618 47-2962212 SITE-00001592 1 OAKWOOD BLVD 33020-

1954Broward (954) 777-7091 10/5/2020 Private 0 Yes Regular

Hollywood Clear Shores, Inc. Southeast C17 Day or Night Treatment with Community Housing

COMP-025737 LIC-1046618 47-2962212 SITE-00004415 1 Oakwood Boulevard, Suite Suite 170 33020 Broward (954) 777-7091 10/5/2020 Private 0 Yes Regular

HOLLYWOOD Clear Shores, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025734 LIC-1046616 47-2962212 SITE-00001592 1 OAKWOOD BLVD 33020-1954

Broward (954) 777-7091 10/5/2020 Private 0 Yes Regular

Hollywood Clear Shores, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025740 LIC-1046616 47-2962212 SITE-00004415 1 Oakwood Boulevard, Suite Suite 170 33020 Broward (954) 777-7091 10/5/2020 Private 0 Yes RegularHOLLYWOOD Clear Shores, Inc. Southeast C17 Outpatient Treatment COMP-025735 LIC-1046615 47-2962212 SITE-00001592 1 OAKWOOD BLVD 33020-

1954Broward (954) 777-7091 10/5/2020 Private 0 Yes Regular

Hollywood Clear Shores, Inc. Southeast C17 Outpatient Treatment COMP-025739 LIC-1046615 47-2962212 SITE-00004415 1 Oakwood Boulevard, Suite Suite 170 33020 Broward (954) 777-7091 10/5/2020 Private 0 Yes RegularHollywood DMBA United, LLC Southeast C17 Day or Night Treatment COMP-023822 LIC-1045971 81-1035415 SITE-00002491 5900 Johnson Street 33021 Broward (954) 549-9679 4/15/2020 Private 0 Yes RegularHollywood DMBA United, LLC Southeast C17 Day or Night Treatment with

Community HousingCOMP-023821 LIC-1045970 81-1035415 SITE-00002491 5900 Johnson Street 33021 Broward (954) 549-9679 4/15/2020 Private 0 Yes Regular

Hollywood DMBA United, LLC Southeast C17 Intensive Outpatient Treatment COMP-023823 LIC-1045972 81-1035415 SITE-00002491 5900 Johnson Street 33021 Broward (954) 549-9679 4/15/2020 Private 0 Yes RegularHollywood DMBA United, LLC Southeast C17 Outpatient Treatment COMP-023820 LIC-1045969 81-1035415 SITE-00002491 5900 Johnson Street 33021 Broward (954) 549-9679 4/15/2020 Private 0 Yes RegularHollywood Institute for Child and Family Health,

Inc.Southeast C17 Level 1 Prevention COMP-024285 LIC-1045540 59-0866060 SITE-00003664 4000 Hollywood Blvd, Suite 530 33031 Broward (305) 685-0381 6/7/2020 Public 0 Yes Regular

Hollywood JC's Recovery Center, LLC Southeast C17 Day or Night Treatment COMP-026371 LIC-1047012 46-5287425 SITE-00000186 1818 Sheridan Street, Suite 205 33020 Broward (954) 589-2001 12/16/2020 Private 0 Yes Regular

Hollywood JC's Recovery Center, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-026364 LIC-1047023 46-5287425 SITE-00000186 1818 Sheridan Street, Suite 205 33020 Broward (954) 589-2001 12/16/2020 Private 0 Yes Regular

Source: PLADS Page 28 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Hollywood JC's Recovery Center, LLC Southeast C17 Intensive Outpatient Treatment COMP-026372 LIC-1047014 46-5287425 SITE-00000186 1818 Sheridan Street, Suite 205 33020 Broward (954) 589-2001 12/16/2020 Private 0 Yes Regular

Hollywood JC's Recovery Center, LLC Southeast C17 Outpatient Treatment COMP-026370 LIC-1047013 46-5287425 SITE-00000186 1818 Sheridan Street, Suite 205 33020 Broward (954) 589-2001 12/16/2020 Private 0 Yes Regular

Hollywood Memorial Healthcare System Southeast C17 Aftercare COMP-024433 LIC-1046124 59-6014973 SITE-00000523 3400 North 29th Avenue 33020 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularHollywood Memorial Healthcare System Southeast C17 Inpatient Detoxification COMP-024495 LIC-1046113 59-6014973 SITE-00000519 3501 Johnson Street 33021 Broward (954) 276-0820 8/2/2020 Public 12 Yes RegularHollywood Memorial Healthcare System Southeast C17 Intensive Outpatient Treatment COMP-024428 LIC-1046112 59-6014973 SITE-00000523 3400 North 29th Avenue 33020 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularHollywood Memorial Healthcare System Southeast C17 Outpatient Detoxification COMP-024431 LIC-1046132 59-6014973 SITE-00000523 3400 North 29th Avenue 33020 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularHOLLYWOOD Metro Treatment of Florida, LP Southeast C17 Medication And Methadone

Maintenance TreatmentCOMP-024756 LIC-1045386 58-2341219 SITE-00000471 1101 S 21ST AVE 33020-

6935Broward (407) 351-7080 8/3/2020 Private 0 Yes Regular

Hollywood Millenium Clinic of Dade, Inc. Southeast C17 Day or Night Treatment COMP-025543 LIC-1046394 47-2436888 SITE-00005255 3911 Hollywood Blvd 33021 Broward (786) 657-2272 7/9/2020 Private 0 Yes RegularHollywood Recovery First of Florida, LLC Southeast C17 Day or Night Treatment COMP-026398 LIC-1045284 47-2553005 SITE-00000545 4100 Davie Road Extension 33024 Broward (954) 981-9228 5/4/2020 Private 0 Yes InterimHOLLYWOOD Recovery First of Florida, LLC Southeast C17 Inpatient Detoxification COMP-022814 LIC-1045281 47-2553005 SITE-00000700 4110 DAVIE ROAD EXT 33024-

1680Broward (954) 981-9228 5/5/2020 Private 20 Yes Interim

HOLLYWOOD Recovery First of Florida, LLC Southeast C17 Intensive Inpatient Treatment COMP-026399 LIC-1045283 47-2553005 SITE-00000700 4110 DAVIE ROAD EXT 33024-1680

Broward (954) 981-9228 5/4/2020 Private 8 Yes Interim

Hollywood Recovery First of Florida, LLC Southeast C17 Intensive Outpatient Treatment COMP-026401 LIC-1045280 47-2553005 SITE-00000545 4100 Davie Road Extension 33024 Broward (954) 981-9228 5/4/2020 Private 0 Yes InterimHollywood Recovery First of Florida, LLC Southeast C17 Intensive Outpatient Treatment COMP-023193 LIC-1045280 47-2553005 SITE-00005021 4120 Davie Road Extension 33024 Broward (954) 981-9228 5/6/2020 Private 0 Yes ProbationaryHomestead Community Health of South Florida, Inc Southern C11 Case Management COMP-026460 LIC-1045350 59-1372690 SITE-00002773 810 W Mowry Drive 33030 Dade (305) 252-4838 4/28/2020 Public 0 Yes Interim

Homestead Community Health of South Florida, Inc Southern C11 Case Management COMP-026506 LIC-1045350 59-1372690 SITE-00004057 13600 SW 312 Street 33033 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Homestead Community Health of South Florida, Inc Southern C11 Day or Night Treatment COMP-026458 LIC-1045413 59-1372690 SITE-00002773 810 W Mowry Drive 33030 Dade (305) 252-4838 4/28/2020 Public 0 Yes Interim

Homestead Community Health of South Florida, Inc Southern C11 General Intervention COMP-026457 LIC-1045396 59-1372690 SITE-00002773 810 W Mowry Drive 33030 Dade (305) 252-4838 4/28/2020 Public 0 Yes Interim

Homestead Community Health of South Florida, Inc Southern C11 General Intervention COMP-026507 LIC-1045396 59-1372690 SITE-00004057 13600 SW 312 Street 33033 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Homestead Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026459 LIC-1045194 59-1372690 SITE-00002773 810 W Mowry Drive 33030 Dade (305) 252-4838 4/28/2020 Public 0 Yes Interim

Homestead Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026508 LIC-1045194 59-1372690 SITE-00004057 13600 SW 312 Street 33033 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Homestead New Hope C.O.R.P.S., Inc. Southern C11 Day or Night Treatment COMP-026320 LIC-1047174 65-0440678 SITE-00003343 1020 North Krome Avenue 33030 Dade (786) 243-1003 2/16/2021 Public 0 Yes RegularHomestead New Hope C.O.R.P.S., Inc. Southern C11 General Intervention COMP-026321 LIC-1047051 65-0440678 SITE-00003343 1020 North Krome Avenue 33030 Dade (786) 243-1003 2/16/2021 Public 0 Yes RegularHomestead New Hope C.O.R.P.S., Inc. Southern C11 Intensive Outpatient Treatment COMP-026319 LIC-1047050 65-0440678 SITE-00003343 1020 North Krome Avenue 33030 Dade (786) 243-1003 2/16/2021 Public 0 Yes RegularHomestead New Hope C.O.R.P.S., Inc. Southern C11 Outpatient Treatment COMP-026322 LIC-1047053 65-0440678 SITE-00003343 1020 North Krome Avenue 33030 Dade (786) 243-1003 2/16/2021 Public 0 Yes RegularHomestead New Hope C.O.R.P.S., Inc. Southern C11 Residential Level 2 COMP-026318 LIC-1047052 65-0440678 SITE-00003343 1020 North Krome Avenue 33030 Dade (786) 243-1003 2/16/2021 Public 60 Yes RegularHomossassa Hanley Center Foundation Inc Central C05 Level 1 Prevention COMP-024096 LIC-1045481 20-2871945 SITE-00002093 5113 S. Suncoast Blvd 34446 Citrus (561) 268-2350 6/30/2020 Public 0 Yes RegularImmokalee David Lawrence Mental Health Center,

IncSuncoast C20 Outpatient Treatment COMP-024920 LIC-1046267 59-2206025 SITE-00001203 425 N. 1st Street 34142 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

IMMOKALEE PACE Center for Girls, Inc. Suncoast C20 Level 1 Prevention COMP-024237 LIC-1045495 59-2414492 SITE-00003731 160 N 1ST ST 34142-3702

Collier (904) 448-8002 6/6/2020 Public 0 No Regular

IMMOKALEE PACE Center for Girls, Inc. Suncoast C20 Level 2 Prevention COMP-024238 LIC-1045494 59-2414492 SITE-00003731 160 N 1ST ST 34142-3702

Collier (904) 448-8002 6/6/2020 Public 0 No Regular

Intercession City Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023667 LIC-1045858 59-2301233 SITE-00000864 5970 South Orange Blossom Trail 33848 Osceola (407) 875-3700 5/23/2020 Public 0 Yes RegularIntercession City Aspire Health Partners, Inc. Central C09 Residential Level 2 COMP-023666 LIC-1045870 59-2301233 SITE-00000864 5970 South Orange Blossom Trail 33848 Osceola (407) 875-3700 5/23/2020 Public 36 Yes RegularInverness Eckerd Youth Alternatives, Inc. Central C05 Level 1 Prevention COMP-023255 LIC-1045100 59-2551416 SITE-00004133 1950 US Hwy 41 North 34450 Citrus (727) 461-2990 4/4/2020 Public 0 Yes RegularInverness Eckerd Youth Alternatives, Inc. Central C05 Level 2 Prevention COMP-023254 LIC-1045734 59-2551416 SITE-00004133 1950 US Hwy 41 North 34450 Citrus (727) 461-2990 4/4/2020 Public 0 Yes RegularInverness The Centers, Inc. Central C05 Outpatient Treatment COMP-025837 LIC-1046254 51-0177273 SITE-00005214 107 Dr Martin Luther King Jr. Ave 34450 Citrus (352) 291-5456 10/20/2020 Public 0 Yes Regular

Source: PLADS Page 29 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Inverness Therapeutic Health Endeavors Institute Central C05 Outpatient Treatment COMP-023281 LIC-1046056 01-0666451 SITE-00003520 1127 Sterling Road 34450 Citrus (352) 637-0605 4/30/2020 Private 0 No Regular

Inverness Western Judicial Services, Inc. Central C05 Aftercare COMP-025558 LIC-1045924 59-3443592 SITE-00002837 103 West Dampier Street 34450 Citrus (321) 868-4066 10/13/2020 Public 0 No Regular

Inverness Western Judicial Services, Inc. Central C05 Outpatient Treatment COMP-025559 LIC-1045925 59-3443592 SITE-00002837 103 West Dampier Street 34450 Citrus (321) 868-4066 10/13/2020 Public 0 No Regular

Jacksonville A New Life For Women Northeast C04 General Intervention COMP-025081 LIC-1047299 45-2437067 SITE-00003390 9550 Regency Square Blvd, Suite 706 32225 Duval (904) 724-9960 9/9/2020 Private 0 No RegularJacksonville AMIkids Behavioral Health, Inc. Northeast C04 Outpatient Treatment COMP-025658 LIC-1047069 59-2661387 SITE-00005168 13375 Beach Blvd. 33634 Duval (813) 887-3300 7/28/2020 Public 0 No RegularJacksonville Beaches Recovery Services Northeast C04 Day or Night Treatment with

Community HousingCOMP-023439 LIC-1045678 47-1581939 SITE-00002006 390 16th Avenue South 32250 Duval (904) 435-0955 4/12/2020 Private 0 Yes Regular

Jacksonville Beaches Recovery Services Northeast C04 Intensive Outpatient Treatment COMP-023436 LIC-1045679 47-1581939 SITE-00002006 390 16th Avenue South 32250 Duval (904) 435-0955 4/12/2020 Private 0 Yes RegularJacksonville Beaches Recovery Services Northeast C04 Outpatient Treatment COMP-023438 LIC-1045677 47-1581939 SITE-00002006 390 16th Avenue South 32250 Duval (904) 435-0955 4/12/2020 Private 0 Yes RegularJACKSONVILLE Breakthroughs, Counseling and

Recovery, IncNortheast C04 Intensive Outpatient Treatment COMP-025147 LIC-1045187 59-3168344 SITE-00002009 3810 WILLIAMSBURG PARK BLVD STE 3 32257-

9221Duval (904) 419-6102 9/13/2020 Private 0 No Regular

Jacksonville Bridges of Florida, Inc. Northeast C04 Aftercare COMP-025835 LIC-1046005 46-4672119 SITE-00004828 601 Agmac Avenue 32808-5613

Duval (407) 218-4800 12/19/2020 Public 0 Yes Regular

Jacksonville Bridges of Florida, Inc. Northeast C04 General Intervention COMP-025833 LIC-1046010 46-4672119 SITE-00004828 601 Agmac Avenue 32808-5613

Duval (407) 218-4800 12/19/2020 Public 0 Yes Regular

Jacksonville Bridges of Florida, Inc. Northeast C04 Outpatient Treatment COMP-025834 LIC-1046006 46-4672119 SITE-00004828 601 Agmac Avenue 32808-5613

Duval (407) 218-4800 12/19/2020 Public 0 Yes Regular

Jacksonville Camelot Community Care, Inc. Northeast C04 Outpatient Treatment COMP-024201 LIC-1047152 31-1659302 SITE-00004819 1241 East 8th Street 32206-4099

Duval (727) 593-0003 4/1/2020 Public 0 Yes Regular

Jacksonville Campus Alcohol and Drug Information Center (CADIC)

Northeast C04 Level 1 Prevention COMP-024871 LIC-1046614 59-2976169 SITE-00002021 1 UNF Drive 32224 Duval (904) 620-1570 8/28/2020 Public 0 No Regular

Jacksonville Central Counseling Service, LLC Northeast C04 Aftercare COMP-025968 LIC-1047056 26-1344356 SITE-00002037 630 West Adams Street 32204 Duval (904) 742-5835 12/27/2020 Public 0 No Regular

Jacksonville Central Counseling Service, LLC Northeast C04 General Intervention COMP-025969 LIC-1047057 26-1344356 SITE-00002037 630 West Adams Street 32204 Duval (904) 742-5835 12/27/2020 Public 0 No Regular

Jacksonville Chemical Dependency Counseling, Inc. Northeast C04 Aftercare COMP-024340 LIC-1046659 59-2178947 SITE-00004728 4237 Salisbury Road North 32216 Duval (904) 353-2949 4/16/2020 Public 0 No Regular

Jacksonville Chemical Dependency Counseling, Inc. Northeast C04 Outpatient Treatment COMP-023977 LIC-1046451 59-2178947 SITE-00004728 4237 Salisbury Road North 32216 Duval (904) 353-2949 4/16/2020 Public 0 No Regular

Jacksonville Community Rehabilitation Center, Inc. Northeast C04 Outpatient Treatment COMP-025369 LIC-1046748 59-3198739 SITE-00002040 623 Beechwood Street 32206 Duval (904) 358-1211 8/28/2020 Public 0 Yes Regular

Jacksonville CRC Health Treatment Clinics, LLC Northeast C04 Medication and Methadone Maintenance Treatment

COMP-024861 LIC-1046604 47-1730600 SITE-00004804 6639 Southpoint Pkwy, Suite 108 32216 Duval (855) 259-2288 9/22/2020 Private 0 Yes Regular

JACKSONVILLE Daniel Memorial, Inc. Northeast C04 General Intervention COMP-025806 LIC-1046840 59-3067752 SITE-00001997 3725 BELFORT RD 32216-5813

Duval (904) 296-1055 12/7/2020 Public 0 Yes Regular

JACKSONVILLE Daniel Memorial, Inc. Northeast C04 Outpatient Treatment COMP-026412 LIC-1047354 59-3067752 SITE-00001997 3725 BELFORT RD 32216-5813

Duval (904) 296-1055 3/9/2020 Public 0 Yes Probationary

Jacksonville Daniel Memorial, Inc. Northeast C04 Outpatient Treatment COMP-026485 LIC-1047354 59-3067752 SITE-00005332 1526-100 North Parental Home Road 32216 Duval (904) 296-1055 4/1/2020 Public 0 Yes ProbationaryJacksonville Daniel Memorial, Inc. Northeast C04 Outpatient Treatment COMP-026487 LIC-1047354 59-3067752 SITE-00005333 1225 Beaver Street W. 32204 Duval (904) 296-1055 4/1/2020 Public 0 Yes ProbationaryJACKSONVILLE Delores Barr Weaver Policy Center Northeast C04 Case Management COMP-026048 LIC-1045226 46-0938295 SITE-00001983 40 E ADAMS ST 32202-

3354Duval (904) 598-0901 1/5/2021 Public 0 No Regular

Jacksonville Dialogical Interaction Recovery Corp Northeast C04 Aftercare COMP-025779 LIC-1047304 17-0000039 SITE-00005208 515 N Washington Street 32202 Duval (904) 322-3558 9/15/2020 Public 0 No Regular

Jacksonville Dialogical Interaction Recovery Corp Northeast C04 General Intervention COMP-025644 LIC-1047305 17-0000039 SITE-00005208 515 N Washington Street 32202 Duval (904) 322-3558 9/15/2020 Public 0 No Regular

Jacksonville Dialogical Interaction Recovery Corp Northeast C04 Outpatient Treatment COMP-025645 LIC-1047303 17-0000039 SITE-00005208 515 N Washington Street 32202 Duval (904) 322-3558 9/15/2020 Public 0 No Regular

Source: PLADS Page 30 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Jacksonville Florida Counseling and Evaluation Services

Northeast C04 Intensive Outpatient Treatment COMP-026500 LIC-1045093 27-2328037 SITE-00003210 6950 Phillips Highway, Suite 10-11 32216 Duval (904) 239-3677 3/18/2020 Private 0 No Probationary

Jacksonville Florida Counseling and Evaluation Services

Northeast C04 Outpatient Treatment COMP-026499 LIC-1045090 27-2328037 SITE-00003210 6950 Phillips Highway, Suite 10-11 32216 Duval (904) 239-3677 3/18/2020 Private 0 No Probationary

Jacksonville FreshMinistries, Inc Northeast C04 Level 1 Prevention COMP-026512 LIC-1045668 59-2967898 SITE-00003515 616 A. Philip Randolph Blvd 32202 Duval (904) 355-0000 2/7/2021 Public 0 No RegularJACKSONVILLE Gateway Community Services, Inc. Northeast C04 Aftercare COMP-022612 LIC-1045278 59-1881828 SITE-00001798 555 STOCKTON ST 32204-

2534Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

Jacksonville Gateway Community Services, Inc. Northeast C04 Case Management COMP-022838 LIC-1045296 59-1881828 SITE-00001841 921 North Davis Street 32209 Duval (904) 387-4661 3/6/2020 Public 0 Yes RegularJACKSONVILLE Gateway Community Services, Inc. Northeast C04 General Intervention COMP-022621 LIC-1045276 59-1881828 SITE-00001798 555 STOCKTON ST 32204-

2534Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

JACKSONVILLE Gateway Community Services, Inc. Northeast C04 General Intervention COMP-022608 LIC-1045276 59-1881828 SITE-00001820 1283 E 8TH ST 32206-4005

Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

Jacksonville Gateway Community Services, Inc. Northeast C04 General Intervention COMP-019843 LIC-1045276 59-1881828 SITE-00001824 920 Bridier Street 32206 Duval (904) 387-4661 3/6/2020 Public 0 Yes RegularJACKSONVILLE Gateway Community Services, Inc. Northeast C04 Inpatient Detoxification COMP-022617 LIC-1045273 59-1881828 SITE-00001798 555 STOCKTON ST 32204-

2534Duval (904) 387-4661 3/6/2020 Public 25 Yes Regular

JACKSONVILLE Gateway Community Services, Inc. Northeast C04 Intensive Outpatient Treatment COMP-022620 LIC-1045274 59-1881828 SITE-00001798 555 STOCKTON ST 32204-2534

Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

JACKSONVILLE Gateway Community Services, Inc. Northeast C04 Level 1 Prevention COMP-024921 LIC-1045289 59-1881828 SITE-00001798 555 STOCKTON ST 32204-2534

Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

JACKSONVILLE Gateway Community Services, Inc. Northeast C04 Outpatient Detoxification COMP-023283 LIC-1047136 59-1881828 SITE-00001798 555 STOCKTON ST 32204-2534

Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

JACKSONVILLE Gateway Community Services, Inc. Northeast C04 Outpatient Treatment COMP-022619 LIC-1045275 59-1881828 SITE-00001798 555 STOCKTON ST 32204-2534

Duval (904) 387-4661 3/6/2020 Public 0 Yes Regular

Jacksonville Gateway Community Services, Inc. Northeast C04 Outpatient Treatment COMP-024922 LIC-1045275 59-1881828 SITE-00001802 4814 Lexington Avenue 32210 Duval (904) 387-4661 3/6/2020 Public 0 Yes RegularJacksonville Gateway Community Services, Inc. Northeast C04 Outpatient Treatment COMP-022609 LIC-1045275 59-1881828 SITE-00001824 920 Bridier Street 32206 Duval (904) 387-4661 3/6/2020 Public 0 Yes RegularJACKSONVILLE Gateway Community Services, Inc. Northeast C04 Residential Level 2 COMP-022613 LIC-1045279 59-1881828 SITE-00001798 555 STOCKTON ST 32204-

2534Duval (904) 387-4661 3/6/2020 Public 76 Yes Regular

Jacksonville Gateway Community Services, Inc. Northeast C04 Residential Level 2 COMP-022610 LIC-1045279 59-1881828 SITE-00001824 920 Bridier Street 32206 Duval (904) 387-4661 3/6/2020 Public 12 Yes RegularJACKSONVILLE Gateway Community Services, Inc. Northeast C04 Residential Level 2 COMP-022622 LIC-1045279 59-1881828 SITE-00003913 940 BRIDIER ST 32206-

5904Duval (904) 387-4661 3/6/2020 Public 24 Yes Regular

Jacksonville Greenfield Center, Inc. Northeast C04 Intensive Outpatient Treatment COMP-025343 LIC-1046561 59-3185641 SITE-00005237 4250 Lakeside Drive 32210 Duval (214) 365-6100 7/29/2020 Private 0 No RegularJacksonville Greenfield Center, Inc. Northeast C04 Outpatient Treatment COMP-025353 LIC-1046560 59-3185641 SITE-00005237 4250 Lakeside Drive 32210 Duval (214) 365-6100 7/29/2020 Private 0 No RegularJacksonville Jewish Family & Community Services

Inc.Northeast C04 Outpatient Treatment COMP-024625 LIC-1046397 59-0637868 SITE-00004740 8540 Baycenter Road 32259 Duval (904) 775-0225 8/27/2020 Public 0 Yes Regular

Jacksonville John Ellison Community Recovery Center

Northeast C04 Intensive Outpatient Treatment COMP-026224 LIC-1046920 82-4725101 SITE-00005301 6320 St Augustine Rd 32217 Duval (904) 661-1985 10/16/2020 Private 0 No Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Aftercare COMP-026097 LIC-1045168 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 0 Yes Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Day or Night Treatment COMP-026095 LIC-1045165 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 0 Yes Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Inpatient Detoxification COMP-026092 LIC-1045166 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 40 Yes Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Intensive Inpatient Treatment COMP-026093 LIC-1045164 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 5 Yes Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Intensive Outpatient Treatment COMP-026096 LIC-1045169 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 0 Yes Regular

JACKSONVILLE Lakeview Health Systems, LLC. Northeast C04 Residential Level 1 COMP-026094 LIC-1045167 65-1100767 SITE-00002029 1900 CORPORATE SQUARE BLVD 32216-1941

Duval (904) 899-4500 12/26/2020 Private 87 Yes Regular

Jacksonville Metro Treatment of Florida, LP Northeast C04 Medication And Methadone Maintenance Treatment

COMP-024759 LIC-1045386 58-2341219 SITE-00000486 4427 Emerson Street 32207 Duval (407) 351-7080 8/3/2020 Private 0 Yes Regular

Source: PLADS Page 31 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Jacksonville Metro Treatment of Florida, LP Northeast C04 Medication And Methadone Maintenance Treatment

COMP-024758 LIC-1045386 58-2341219 SITE-00003981 590 Ellis Road, South 32254 Duval (407) 351-7080 8/3/2020 Private 0 Yes Regular

Jacksonville Metropolitan Behavioral Services Northeast C04 General Intervention COMP-024200 LIC-1047250 47-4806167 SITE-00003912 4741 Atlantic Blvd 32207 Duval (904) 562-1391 7/3/2020 Private 0 No RegularJacksonville Northwest Behavioral Health Services,

Inc.Northeast C04 Aftercare COMP-025600 LIC-1046851 59-3128476 SITE-00002001 2392 North Edgewood Ave 32254 Duval (904) 781-7797 9/23/2020 Private 0 Yes Regular

Jacksonville Northwest Behavioral Health Services, Inc.

Northeast C04 Level 2 Prevention COMP-025300 LIC-1046853 59-3128476 SITE-00002001 2392 North Edgewood Ave 32254 Duval (904) 781-7797 9/23/2020 Private 0 Yes Regular

Jacksonville Northwest Behavioral Health Services, Inc.

Northeast C04 Outpatient Treatment COMP-025297 LIC-1046852 59-3128476 SITE-00002001 2392 North Edgewood Ave 32254 Duval (904) 781-7797 9/23/2020 Private 0 Yes Regular

Jacksonville PACE Center for Girls, Inc. Northeast C04 Level 1 Prevention COMP-024226 LIC-1045495 59-2414492 SITE-00001442 2933 University Boulevard North 32211 Duval (904) 448-8002 6/6/2020 Public 0 No RegularJacksonville PACE Center for Girls, Inc. Northeast C04 Level 2 Prevention COMP-024227 LIC-1045494 59-2414492 SITE-00001442 2933 University Boulevard North 32211 Duval (904) 448-8002 6/6/2020 Public 0 No RegularJacksonville Parkside Clinic, LLC Northeast C04 Medication And Methadone

Maintenance TreatmentCOMP-026414 LIC-1045270 47-1123285 SITE-00001373 5600 Spring Park Road 32216 Duval (904) 737-5000 2/16/2021 Private 0 Yes Regular

Jacksonville Recovery Counseling and More Northeast C04 Outpatient Treatment COMP-024848 LIC-1046600 82-0612984 SITE-00004006 4570 St Johns Ave 32211 Duval (904) 703-8367 8/2/2020 Public 0 No RegularJacksonville Recovery Keys, Inc. Northeast C04 Day or Night Treatment COMP-026589 LIC-1045902 27-0569695 SITE-00005199 6100 Greenland Rd 32258 Duval (904) 342-5965 2/10/2021 Private 0 Yes RegularJacksonville Recovery Keys, Inc. Northeast C04 Intensive Outpatient Treatment COMP-026588 LIC-1045797 27-0569695 SITE-00005199 6100 Greenland Rd 32258 Duval (904) 342-5965 2/10/2021 Private 0 Yes RegularJACKSONVILLE River Region Human Services, Inc. Northeast C04 Aftercare COMP-025675 LIC-1046918 59-1952727 SITE-00001872 1133 IONIA ST 32206-

5125Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

Jacksonville River Region Human Services, Inc. Northeast C04 Aftercare COMP-025638 LIC-1046918 59-1952727 SITE-00004628 3901 Carmichael Avenue 32207 Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

JACKSONVILLE River Region Human Services, Inc. Northeast C04 Day or Night Treatment with Community Housing

COMP-025642 LIC-1046922 59-1952727 SITE-00001880 451 N CATHERINE ST 32202-2501

Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

Jacksonville River Region Human Services, Inc. Northeast C04 General Intervention COMP-025754 LIC-1047125 59-1952727 SITE-00004628 3901 Carmichael Avenue 32207 Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

JACKSONVILLE River Region Human Services, Inc. Northeast C04 Level 1 Prevention COMP-025680 LIC-1046923 59-1952727 SITE-00001876 500 E ADAMS ST 32202-2813

Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

Jacksonville River Region Human Services, Inc. Northeast C04 Medication And Methadone Maintenance Treatment

COMP-025639 LIC-1046919 59-1952727 SITE-00004628 3901 Carmichael Avenue 32207 Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

Jacksonville River Region Human Services, Inc. Northeast C04 Outpatient Treatment COMP-025640 LIC-1046917 59-1952727 SITE-00004628 3901 Carmichael Avenue 32207 Duval (904) 899-6300 11/25/2020 Public 0 Yes Regular

Jacksonville River Region Human Services, Inc. Northeast C04 Residential Level 2 COMP-025637 LIC-1046953 59-1952727 SITE-00001853 2981 Parental Home Road 32216 Duval (904) 899-6300 11/25/2020 Public 56 Yes Regular

Jacksonville Ron Cipriano& Associates Counseling, LLC

Northeast C04 Intensive Outpatient Treatment COMP-024616 LIC-1046708 45-5338895 SITE-00001343 9471 Bay Meadows Rd. 32256 Duval (904) 503-2634 8/21/2020 Private 0 No Regular

Jacksonville Ron Cipriano& Associates Counseling, LLC

Northeast C04 Intensive Outpatient Treatment COMP-023237 LIC-1046708 45-5338895 SITE-00002931 2520 Isabella Blvd 32256 Duval (904) 503-2634 4/10/2020 Private 0 No Regular

Jacksonville Ron Cipriano& Associates Counseling, LLC

Northeast C04 Outpatient Treatment COMP-024615 LIC-1046707 45-5338895 SITE-00001343 9471 Bay Meadows Rd. 32256 Duval (904) 503-2634 8/21/2020 Private 0 No Regular

Jacksonville Ron Cipriano& Associates Counseling, LLC

Northeast C04 Outpatient Treatment COMP-023238 LIC-1046707 45-5338895 SITE-00002931 2520 Isabella Blvd 32256 Duval (904) 503-2634 4/10/2020 Private 0 No Regular

Jacksonville Sequel TSI of Florida LLC Northeast C04 Outpatient Treatment COMP-025634 LIC-1045297 27-1360815 SITE-00002964 7500 Ricker Rd 32244 Duval (256) 880-3339 10/25/2020 Public 0 No Regular

JACKSONVILLE Stepping Stone Ctr For Recovery, LLC Northeast C04 Aftercare COMP-026127 LIC-1045175 20-2859105 SITE-00001763 1815 CORPORATE SQUARE BLVD 32216-0324

Duval (904) 446-1041 12/26/2020 Private 0 Yes Regular

JACKSONVILLE Stepping Stone Ctr For Recovery, LLC Northeast C04 Inpatient Detoxification COMP-026124 LIC-1045174 20-2859105 SITE-00001763 1815 CORPORATE SQUARE BLVD 32216-0324

Duval (904) 446-1041 12/26/2020 Private 10 Yes Regular

JACKSONVILLE Stepping Stone Ctr For Recovery, LLC Northeast C04 Intensive Inpatient Treatment COMP-026125 LIC-1045171 20-2859105 SITE-00001763 1815 CORPORATE SQUARE BLVD 32216-0324

Duval (904) 446-1041 12/26/2020 Private 2 Yes Regular

JACKSONVILLE Stepping Stone Ctr For Recovery, LLC Northeast C04 Residential Level 1 COMP-026126 LIC-1045172 20-2859105 SITE-00001763 1815 CORPORATE SQUARE BLVD 32216-0324

Duval (904) 446-1041 12/26/2020 Private 17 Yes Regular

Source: PLADS Page 32 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Jacksonville The Chrysalis Center, Inc. d/b/a Chrysalis Health

Northeast C04 Outpatient Treatment COMP-025288 LIC-1046519 20-1966531 SITE-00005116 2121 Corporate Square Blvd 32216 Duval (954) 587-1008 9/30/2020 Public 0 Yes Regular

JACKSONVILLE The City Rescue Mission Northeast C04 Residential Level 2 COMP-023686 LIC-1045942 59-1009115 SITE-00003990 234 W STATE ST 32202-4040

Duval (904) 421-5192 5/24/2020 Public 29 No Regular

JACKSONVILLE The City Rescue Mission Northeast C04 Residential Level 4 COMP-024825 LIC-1047203 59-1009115 SITE-00003990 234 W STATE ST 32202-4040

Duval (904) 421-5192 5/26/2020 Public 15 No Regular

Jacksonville Tides Edge Recovery Services, LLC Northeast C04 Day or Night Treatment COMP-024028 LIC-1046523 82-1289698 SITE-00004098 1597 The Greens Way 32250 Duval (904) 613-7637 6/6/2020 Private 0 Yes RegularJacksonville Tides Edge Recovery Services, LLC Northeast C04 Inpatient Detoxification COMP-024030 LIC-1046170 82-1289698 SITE-00004098 1597 The Greens Way 32250 Duval (904) 613-7637 6/6/2020 Private 19 Yes RegularJacksonville Tides Edge Recovery Services, LLC Northeast C04 Residential Level 1 COMP-024029 LIC-1046283 82-1289698 SITE-00004098 1597 The Greens Way 32250 Duval (904) 613-7637 6/6/2020 Private 13 Yes RegularJacksonville Transition House, Inc. Northeast C04 Aftercare COMP-025409 LIC-1045891 59-3208913 SITE-00003346 13200 Old Kings Road 32219 Duval (407) 892-5700 9/30/2020 Public 0 Yes RegularJacksonville Transition House, Inc. Northeast C04 General Intervention COMP-026229 LIC-1046761 59-3208913 SITE-00003346 13200 Old Kings Road 32219 Duval (407) 892-5700 9/30/2020 Public 0 Yes RegularJacksonville Transition House, Inc. Northeast C04 Outpatient Treatment COMP-025408 LIC-1045129 59-3208913 SITE-00003346 13200 Old Kings Road 32219 Duval (407) 892-5700 9/30/2020 Public 0 Yes RegularJacksonville TrueCore Behavioral Solutions, LLC Northeast C04 Outpatient Treatment COMP-023393 LIC-1045557 54-1859903 SITE-00003889 4501 Lannie Rd 32218 Duval (813) 514-6275 4/7/2020 Public 0 No RegularJasper Meridian Behavioral Health Care, Inc. Northeast C03 Outpatient Treatment COMP-023129 LIC-1045518 59-1906214 SITE-00003534 406 NW 10th Avenue 32052 Hamilton (352) 374-5600 3/28/2020 Public 0 Yes Regular

Jasper Rite of Passage Inc. Northeast C03 Outpatient Treatment COMP-023985 LIC-1046229 88-0235002 SITE-00005101 11180 NE 38th Street 32052 Hamilton (352) 717-3694 3/23/2020 Public 0 No RegularJensen Beach Just Believe Recovery Center of Port

Saint Lucie, LLCSoutheast C19 Day or Night Treatment COMP-023058 LIC-1045889 46-3413530 SITE-00003730 1802 NE Jensen Beach Blvd. 34957 Martin (772) 252-1235 4/5/2020 Private 0 Yes Regular

Jensen Beach Just Believe Recovery Center of Port Saint Lucie, LLC

Southeast C19 Intensive Outpatient Treatment COMP-023057 LIC-1045887 46-3413530 SITE-00003730 1802 NE Jensen Beach Blvd. 34957 Martin (772) 252-1235 4/5/2020 Private 0 Yes Regular

Jensen Beach Just Believe Recovery Center of Port Saint Lucie, LLC

Southeast C19 Outpatient Treatment COMP-023055 LIC-1045890 46-3413530 SITE-00003730 1802 NE Jensen Beach Blvd. 34957 Martin (772) 252-1235 4/5/2020 Private 0 Yes Regular

Jensen Beach Just Believe Recovery Center, LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-023054 LIC-1045892 46-0706338 SITE-00002901 1802 NE Jensen Beach Blvd 34957 Martin (772) 252-1235 4/2/2020 Private 0 Yes Regular

Jensen Beach Just Believe Recovery Center, LLC Southeast C19 Intensive Outpatient Treatment COMP-023053 LIC-1045893 46-0706338 SITE-00002901 1802 NE Jensen Beach Blvd 34957 Martin (772) 252-1235 4/2/2020 Private 0 Yes RegularJensen Beach Just Believe Recovery Center, LLC Southeast C19 Outpatient Treatment COMP-023052 LIC-1045894 46-0706338 SITE-00002901 1802 NE Jensen Beach Blvd 34957 Martin (772) 252-1235 4/2/2020 Private 0 Yes RegularJensen Beach Tribe Intensive, LLC Southeast C19 Day or Night Treatment COMP-024363 LIC-1047198 83-3545184 SITE-00005161 1475 NE Jensen Beach Blvd 34957 Martin (772) 208-5425 5/21/2020 Private 0 No RegularJensen Beach Tribe Intensive, LLC Southeast C19 Intensive Outpatient Treatment COMP-024344 LIC-1047200 83-3545184 SITE-00005161 1475 NE Jensen Beach Blvd 34957 Martin (772) 208-5425 5/21/2020 Private 0 No RegularJensen Beach Tribe Intensive, LLC Southeast C19 Outpatient Treatment COMP-024345 LIC-1047199 83-3545184 SITE-00005161 1475 NE Jensen Beach Blvd 34957 Martin (772) 208-5425 5/21/2020 Private 0 No RegularJENSEN BEACH Wellness Counseling and Residential

Detoxification Services, LLCSoutheast C19 Inpatient Detoxification COMP-025772 LIC-1045067 46-2231783 SITE-00003067 3650-3670 NE Indian River Drive 34957-

4116Martin (772) 266-7682 10/12/2020 Private 15 Yes Regular

JENSEN BEACH Wellness Counseling and Residential Detoxification Services, LLC

Southeast C19 Residential Level 1 COMP-025862 LIC-1045066 46-2231783 SITE-00003067 3650-3670 NE Indian River Drive 34957-4116

Martin (772) 266-7682 10/12/2020 Private 15 Yes Regular

JUNO BEACH Beach House Treatment Center, LLC Southeast C15 Day or Night Treatment COMP-024395 LIC-1046401 47-2470694 SITE-00003676 13221 US HIGHWAY 1 33408-2222

Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024393 LIC-1046407 47-2470694 SITE-00004546 13319 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Inpatient Detoxification COMP-024382 LIC-1046400 47-2470694 SITE-00002713 13321 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 30 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Intensive Inpatient Treatment COMP-024383 LIC-1046402 47-2470694 SITE-00002713 13321 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 1 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-024397 LIC-1046404 47-2470694 SITE-00003036 13201 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

JUNO BEACH Beach House Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-024394 LIC-1046404 47-2470694 SITE-00003676 13221 US HIGHWAY 1 33408-2222

Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-024398 LIC-1046403 47-2470694 SITE-00003036 13201 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Public 0 Yes Regular

JUNO BEACH Beach House Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-024396 LIC-1046403 47-2470694 SITE-00003676 13221 US HIGHWAY 1 33408-2222

Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Source: PLADS Page 33 of 95

Page 34: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Juno Beach Beach House Treatment Center, LLC Southeast C15 Residential Level 1 COMP-024384 LIC-1046408 47-2470694 SITE-00004522 13261 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 57 Yes Regular

Juno Beach Beach House Treatment Center, LLC Southeast C15 Residential Level 1 COMP-024945 LIC-1046408 47-2470694 SITE-00004546 13319 US Hwy 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 19 Yes Regular

Jupiter Best Life Counseling, LLC Southeast C15 Intensive Outpatient Treatment COMP-025671 LIC-1046438 45-2599825 SITE-00000923 1001 West Indiantown Road 33458 Palm Beach

(561) 745-8889 8/21/2020 Private 0 No Regular

Jupiter Best Life Counseling, LLC Southeast C15 Outpatient Treatment COMP-024971 LIC-1046437 45-2599825 SITE-00000923 1001 West Indiantown Road 33458 Palm Beach

(561) 745-8889 8/21/2020 Private 0 No Regular

JUPITER GMH Tequesta Holdings, LLC Southeast C15 Day or Night Treatment COMP-025271 LIC-1046861 27-3790883 SITE-00001540 701 OLD DIXIE HWY 33469-2493

Palm Beach

(561) 935-4155 9/24/2020 Private 0 Yes Regular

JUPITER GMH Tequesta Holdings, LLC Southeast C15 Inpatient Detoxification COMP-025270 LIC-1046860 27-3790883 SITE-00001540 701 OLD DIXIE HWY 33469-2493

Palm Beach

(561) 935-4155 9/24/2020 Private 30 Yes Regular

JUPITER GMH Tequesta Holdings, LLC Southeast C15 Intensive Outpatient Treatment COMP-025267 LIC-1046868 27-3790883 SITE-00001540 701 OLD DIXIE HWY 33469-2493

Palm Beach

(561) 935-4155 9/24/2020 Private 0 Yes Regular

JUPITER GMH Tequesta Holdings, LLC Southeast C15 Outpatient Treatment COMP-025266 LIC-1046867 27-3790883 SITE-00001540 701 OLD DIXIE HWY 33469-2493

Palm Beach

(561) 935-4155 9/24/2020 Private 0 Yes Regular

JUPITER GMH Tequesta Holdings, LLC Southeast C15 Residential Level 2 COMP-025269 LIC-1046866 27-3790883 SITE-00001540 701 OLD DIXIE HWY 33469-2493

Palm Beach

(561) 935-4155 9/24/2020 Private 70 Yes Regular

Jupiter Prestige Detox, LLC Southeast C15 Inpatient Detoxification COMP-026494 LIC-1047407 84-3739019 SITE-00005335 250 Thelma Avenue 33458 Palm Beach

(561) 935-3885 5/31/2020 Private 15 No Probationary

Jupiter Prestige Detox, LLC Southeast C15 Residential Level 1 COMP-026495 LIC-1047406 84-3739019 SITE-00005335 250 Thelma Avenue 33458 Palm Beach

(561) 935-3885 5/31/2020 Private 15 No Probationary

Jupiter The Brain Spa, LLC Southeast C15 Intensive Outpatient Treatment COMP-022772 LIC-1047149 81-3053512 SITE-00004939 210 Jupiter Lakes Blvd. 33458 Palm Beach

(561) 406-1656 3/31/2020 Private 0 No Regular

Jupiter The Brain Spa, LLC Southeast C15 Outpatient Treatment COMP-025357 LIC-1047151 81-3053512 SITE-00004939 210 Jupiter Lakes Blvd. 33458 Palm Beach

(561) 406-1656 10/1/2020 Private 0 No Regular

JUPITER Transformation at Jupiter Counseling, Inc.

Southeast C15 Day or Night Treatment COMP-024977 LIC-1046716 26-1256780 SITE-00000030 1001 W INDIANTOWN RD 33458-6830

Palm Beach

(561) 575-2020 9/11/2020 Private 0 No Regular

JUPITER Transformation at Jupiter Counseling, Inc.

Southeast C15 Intensive Outpatient Treatment COMP-025250 LIC-1046911 26-1256780 SITE-00000030 1001 W INDIANTOWN RD 33458-6830

Palm Beach

(561) 575-2020 9/11/2020 Private 0 No Regular

Jupiter Villa Tranquil LLC Southeast C15 Day or Night Treatment COMP-023335 LIC-1047139 82-0778070 SITE-00005049 6650 W. Indiantown Rd 33458 Palm Beach

(214) 799-3080 3/12/2020 Private 0 No Regular

Jupiter Villa Tranquil LLC Southeast C15 Intensive Outpatient Treatment COMP-023336 LIC-1047141 82-0778070 SITE-00005049 6650 W. Indiantown Rd 33458 Palm Beach

(214) 799-3080 3/12/2020 Private 0 No Regular

Jupiter Villa Tranquil LLC Southeast C15 Outpatient Treatment COMP-023337 LIC-1047140 82-0778070 SITE-00005049 6650 W. Indiantown Rd 33458 Palm Beach

(214) 799-3080 3/12/2020 Private 0 No Regular

Key Largo Guidance/Care Center, Inc. Southern C16 Aftercare COMP-024476 LIC-1046047 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Case Management COMP-024479 LIC-1046041 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 General Intervention COMP-024477 LIC-1046043 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Intensive Outpatient Treatment COMP-024474 LIC-1046048 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Level 1 Prevention COMP-024456 LIC-1046040 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Level 2 Prevention COMP-024480 LIC-1046042 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Outpatient Detoxification COMP-024473 LIC-1046045 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Outpatient Treatment COMP-024475 LIC-1046046 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey Largo Guidance/Care Center, Inc. Southern C16 Treatment Alternatives for Safer

CommunitiesCOMP-024478 LIC-1046039 59-1458324 SITE-00000157 99198 Overseas Hwy. Suite 5 33037 Monroe (305) 434-7660 7/10/2020 Public 0 Yes Regular

Key West 16th Judicial Circuit Drug Court Southern C16 Outpatient Treatment COMP-025319 LIC-1046565 59-6000749 SITE-00004403 Freeman Justice Center 302 FLEMING ST 33040-8393

Monroe (305) 292-3549 10/10/2020 Public 0 No Regular

Key West Guidance/Care Center, Inc. Southern C16 Aftercare COMP-024464 LIC-1046047 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Aftercare COMP-024460 LIC-1046047 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Case Management COMP-024468 LIC-1046041 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Private 0 Yes Regular

Source: PLADS Page 34 of 95

Page 35: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Key West Guidance/Care Center, Inc. Southern C16 Case Management COMP-024457 LIC-1046041 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 General Intervention COMP-024470 LIC-1046043 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 General Intervention COMP-024459 LIC-1046043 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Intensive Outpatient Treatment COMP-024471 LIC-1046048 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Intensive Outpatient Treatment COMP-024462 LIC-1046048 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Level 1 Prevention COMP-024467 LIC-1046040 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Level 1 Prevention COMP-024481 LIC-1046040 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Level 2 Prevention COMP-024466 LIC-1046042 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Level 2 Prevention COMP-024350 LIC-1046042 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Outpatient Detoxification COMP-024472 LIC-1046045 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Outpatient Detoxification COMP-024463 LIC-1046045 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Outpatient Treatment COMP-024465 LIC-1046046 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Outpatient Treatment COMP-024461 LIC-1046046 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularKey West Guidance/Care Center, Inc. Southern C16 Treatment Alternatives for Safer

CommunitiesCOMP-024469 LIC-1046039 59-1458324 SITE-00000144 5525 College Rd 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes Regular

Key West Guidance/Care Center, Inc. Southern C16 Treatment Alternatives for Safer Communities

COMP-024458 LIC-1046039 59-1458324 SITE-00000148 1205 Fourth Street 33040 Monroe (305) 434-7660 7/10/2020 Public 0 Yes Regular

Key West Key Bridge, Inc Southern C16 Aftercare COMP-023586 LIC-1045356 81-1904763 SITE-00003398 1111 12th Street 33040 Monroe (305) 783-3677 3/19/2020 Private 0 No RegularKey West Key Bridge, Inc Southern C16 Outpatient Treatment COMP-023589 LIC-1045344 81-1904763 SITE-00003398 1111 12th Street 33040 Monroe (305) 783-3677 3/19/2020 Private 0 No RegularKey West Samuel's House, Inc. Southern C16 Case Management COMP-023653 LIC-1045709 65-0951120 SITE-00002168 1614 Truesdell Court 33040 Monroe (305) 296-0240 4/13/2020 Private 0 No RegularKey West Samuel's House, Inc. Southern C16 General Intervention COMP-023745 LIC-1045655 65-0951120 SITE-00002168 1614 Truesdell Court 33040 Monroe (305) 296-0240 4/13/2020 Private 0 No RegularKeystone Heights Clay Behavioral Health Center Northeast C08 Aftercare COMP-027103 LIC-1045390 59-2219317 SITE-00005365 160 SW Nightingale Street 32068 Bradford (904) 291-5561 5/12/2020 Public 0 Yes ProbationaryKeystone Heights Clay Behavioral Health Center Northeast C08 Case Management COMP-027123 LIC-1045389 59-2219317 SITE-00005365 160 SW Nightingale Street 32068 Bradford (904) 291-5561 5/7/2020 Public 0 Yes ProbationaryKeystone Heights Clay Behavioral Health Center Northeast C08 Outpatient Treatment COMP-027124 LIC-1045388 59-2219317 SITE-00005365 160 SW Nightingale Street 32068 Bradford (904) 291-5561 5/7/2020 Public 0 Yes ProbationaryKissimmee Aspire Health Partners, Inc. Central C09 Case Management COMP-024702 LIC-1045900 59-2301233 SITE-00000854 924 Determination Way 34741 Osceola (407) 875-3700 6/23/2020 Public 0 Yes RegularKissimmee Aspire Health Partners, Inc. Central C09 Intensive Outpatient Treatment COMP-023634 LIC-1045798 59-2301233 SITE-00000417 2540 Michigan Street 34744 Osceola (407) 875-3700 5/23/2020 Public 0 Yes RegularKissimmee Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-023664 LIC-1045910 59-2301233 SITE-00000417 2540 Michigan Street 34744 Osceola (407) 875-3700 5/23/2020 Public 0 Yes RegularKissimmee Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-024425 LIC-1045910 59-2301233 SITE-00000854 924 Determination Way 34741 Osceola (407) 875-3700 5/22/2020 Public 0 Yes RegularKissimmee Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023632 LIC-1045858 59-2301233 SITE-00000417 2540 Michigan Street 34744 Osceola (407) 875-3700 5/23/2020 Public 0 Yes RegularKissimmee Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023665 LIC-1045858 59-2301233 SITE-00000854 924 Determination Way 34741 Osceola (407) 875-3700 5/23/2020 Public 0 Yes RegularKissimmee Gulf Coast Jewish Family and

Community Services, IncCentral C09 Outpatient Treatment COMP-024842 LIC-1047245 59-1229354 SITE-00005022 111 E. Monument Ave. 33760 Osceola (727) 479-1800 3/4/2020 Public 0 Yes Regular

KISSIMMEE House Of Freedom, Inc. Central C09 Outpatient Treatment COMP-024844 LIC-1046352 59-3084953 SITE-00002620 2311 N ORANGE BLOSSOM TRL 34744-2313

Osceola (407) 957-9077 8/31/2020 Public 0 Yes Regular

KISSIMMEE House Of Freedom, Inc. Central C09 Residential Level 2 COMP-024845 LIC-1046346 59-3084953 SITE-00002620 2311 N ORANGE BLOSSOM TRL 34744-2313

Osceola (407) 957-9077 8/31/2020 Public 28 Yes Regular

KISSIMMEE House Of Freedom, Inc. Central C09 Residential Level 3 COMP-024830 LIC-1046347 59-3084953 SITE-00002620 2311 N ORANGE BLOSSOM TRL 34744-2313

Osceola (407) 957-9077 8/31/2020 Public 28 Yes Regular

Kissimmee Jones Family Services, LLC. Central C09 Outpatient Treatment COMP-025978 LIC-1047351 46-3096992 SITE-00005282 400 N. Church Street 34741 Osceola (407) 944-0380 12/2/2020 Private 0 No RegularKissimmee Metro Treatment of Florida, LP Central C09 Medication And Methadone

Maintenance TreatmentCOMP-024795 LIC-1045386 58-2341219 SITE-00004856 1507-A John Young Parkway 34741 Osceola (407) 351-7080 8/3/2020 Private 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Addictions Receiving Facility COMP-025657 LIC-1045154 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 10 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Aftercare COMP-025876 LIC-1045155 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

Kissimmee Park Place Behavioral Healthcare Central C09 Case Management COMP-025975 LIC-1046718 59-1677912 SITE-00000190 511 Dillingham Avenue 34741 Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Day or Night Treatment COMP-025875 LIC-1045151 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Inpatient Detoxification COMP-025974 LIC-1045160 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 10 Yes Regular

Source: PLADS Page 35 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

KISSIMMEE Park Place Behavioral Healthcare Central C09 Intensive Outpatient Treatment COMP-025874 LIC-1045156 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Outpatient Detoxification COMP-025873 LIC-1045152 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

Kissimmee Park Place Behavioral Healthcare Central C09 Outpatient Treatment COMP-025972 LIC-1045157 59-1677912 SITE-00002416 2940 Pleasant Hill Rd. 34746 Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Outpatient Treatment COMP-025977 LIC-1045157 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 0 Yes Regular

KISSIMMEE Park Place Behavioral Healthcare Central C09 Residential Level 1 COMP-025655 LIC-1045159 59-1677912 SITE-00002576 206 PARK PLACE BLVD 34741-2344

Osceola (407) 846-0023 11/30/2020 Public 18 Yes Regular

Kissimmee Park Place Behavioral Healthcare Central C09 Residential Level 4 COMP-025399 LIC-1046717 59-1677912 SITE-00000190 511 Dillingham Avenue 34741 Osceola (407) 846-0023 11/30/2020 Public 12 Yes Regular

Kissimmee Personal Recovery Network Central C09 Outpatient Treatment COMP-026423 LIC-1047334 58-2010734 SITE-00005287 321 West Oak Street 34761 Osceola (407) 753-7441 11/6/2020 Private 0 No RegularKissimmee Premium Counseling Group, LLC Central C09 Outpatient Treatment COMP-023280 LIC-1045656 47-5432912 SITE-00002558 3501 W. Vine St. 34741 Osceola (407) 595-4327 4/17/2020 Private 0 No RegularKissimmee Serving Children and Reaching Families,

LLCCentral C09 Outpatient Treatment COMP-026534 LIC-1045193 46-2975165 SITE-00005336 1216 Patrick Street 34741 Osceola (321) 236-1540 4/6/2020 Public 0 Yes Probationary

Kissimmee Transition House, Inc. Central C09 Aftercare COMP-025421 LIC-1045891 59-3208913 SITE-00000532 3501 W. Vine Street 34741 Osceola (407) 892-5700 9/30/2020 Public 0 Yes RegularKISSIMMEE Transition House, Inc. Central C09 Aftercare COMP-025417 LIC-1045891 59-3208913 SITE-00003936 900 E VINE ST 34744-

4551Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

Kissimmee Transition House, Inc. Central C09 General Intervention COMP-025430 LIC-1046761 59-3208913 SITE-00000532 3501 W. Vine Street 34741 Osceola (407) 892-5700 9/30/2020 Public 0 Yes RegularKISSIMMEE Transition House, Inc. Central C09 General Intervention COMP-025836 LIC-1046761 59-3208913 SITE-00003936 900 E VINE ST 34744-

4551Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

Kissimmee Transition House, Inc. Central C09 Outpatient Treatment COMP-025419 LIC-1045129 59-3208913 SITE-00000532 3501 W. Vine Street 34741 Osceola (407) 892-5700 9/30/2020 Public 0 Yes RegularKISSIMMEE Transition House, Inc. Central C09 Outpatient Treatment COMP-025416 LIC-1045129 59-3208913 SITE-00003936 900 E VINE ST 34744-

4551Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

Kissimmee Turning Point of Central Florida Central C09 Outpatient Treatment COMP-022988 LIC-1045625 59-3344663 SITE-00002262 600 N. Thacker Avenue 34741 Osceola (407) 740-5655 3/3/2020 Public 0 No RegularKissimmee White Sands Treatment Center Tampa,

LLCCentral C09 Outpatient Treatment COMP-027112 LIC-1046607 81-3488022 SITE-00005345 103B Broadway Ave 34741 Osceola (813) 756-5660 5/18/2020 Private 0 Yes Probationary

Kissimmee Youth Opportunity Investments LLC Central C09 Outpatient Treatment COMP-023917 LIC-1045556 27-0972875 SITE-00002871 2330 New Beginnings Road 34744 Osceola (727) 800-3511 x41102

4/1/2020 Public 0 Yes Regular

Labelle Halcyon Management Group, Inc. Suncoast C20 Aftercare COMP-025667 LIC-1046471 46-2922097 SITE-00004959 825 E. Cowboy Way 33935 Hendry (941) 255-5900 9/10/2020 Public 0 No RegularLabelle Halcyon Management Group, Inc. Suncoast C20 Outpatient Treatment COMP-025666 LIC-1046472 46-2922097 SITE-00004959 825 E. Cowboy Way 33935 Hendry (941) 255-5900 9/10/2020 Public 0 No RegularLabelle Major Impact, Inc. Suncoast C20 Outpatient Treatment COMP-024685 LIC-1046075 30-0572405 SITE-00001279 462 Cowboy Way 33936 Hendry (239) 226-4357 6/28/2020 Public 0 No RegularLake Butler Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023130 LIC-1045518 59-1906214 SITE-00003591 10 West Main St 32054 Union (352) 374-5600 3/28/2020 Public 0 Yes Regular

Lake City Bridges of Florida, Inc. Northeast C03 Aftercare COMP-025768 LIC-1046005 46-4672119 SITE-00004944 1099 NW Dot Gln 32808-5613

Columbia (407) 218-4800 12/19/2020 Public 0 Yes Regular

Lake City Bridges of Florida, Inc. Northeast C03 General Intervention COMP-025828 LIC-1046010 46-4672119 SITE-00004944 1099 NW Dot Gln 32808-5613

Columbia (407) 218-4800 12/19/2020 Public 0 Yes Regular

Lake City Bridges of Florida, Inc. Northeast C03 Outpatient Treatment COMP-025829 LIC-1046006 46-4672119 SITE-00004944 1099 NW Dot Gln 32808-5613

Columbia (407) 218-4800 12/19/2020 Public 0 Yes Regular

Lake City Gateway Foundation, Inc. Northeast C03 Intensive Outpatient Treatment COMP-024673 LIC-1046307 36-2670036 SITE-00004791 216 S.E. Corrections Way 32025 Columbia (312) 663-1130 5/11/2020 Public 0 No RegularLake City Gateway Foundation, Inc. Northeast C03 Outpatient Treatment COMP-024672 LIC-1046306 36-2670036 SITE-00004791 216 S.E. Corrections Way 32025 Columbia (312) 663-1130 5/11/2020 Public 0 No RegularLake City Henry & Rilla White Youth Foundation,

Inc.Northeast C03 Outpatient Treatment COMP-025136 LIC-1046709 59-2906946 SITE-00004835 305 NW Christian Court 32055 Columbia (850) 922-8375 8/29/2020 Public 0 Yes Regular

Lake City Lake City Correctional Facility Northeast C03 Residential Level 2 COMP-024058 LIC-1046031 62-1763875 SITE-00001688 7906 East US Highway 90 32055 Columbia (386) 755-3379 6/28/2020 Private 96 No RegularLAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 General Intervention COMP-023131 LIC-1045524 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-

0440Columbia (352) 374-5600 3/28/2020 Public 0 Yes Regular

LAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 Intensive Outpatient Treatment COMP-023136 LIC-1045515 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-0440

Columbia (352) 374-5600 3/28/2020 Public 0 Yes Regular

Source: PLADS Page 36 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

LAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 Medication And Methadone Maintenance Treatment

COMP-023134 LIC-1045523 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-0440

Columbia (352) 374-5600 3/28/2020 Public 0 Yes Regular

LAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 Outpatient Detoxification COMP-023135 LIC-1045527 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-0440

Columbia (352) 374-5600 3/28/2020 Public 0 Yes Regular

LAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 Outpatient Treatment COMP-023132 LIC-1045518 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-0440

Columbia (352) 374-5600 3/28/2020 Public 0 Yes Regular

LAKE CITY Meridian Behavioral Health Care, Inc. Northeast C03 Residential Level 2 COMP-023133 LIC-1045520 59-1906214 SITE-00003456 439 SW MICHIGAN ST 32025-0440

Columbia (352) 374-5600 3/28/2020 Public 20 Yes Regular

Lake City Resolutions Health Alliance, P.A. Northeast C03 General Intervention COMP-025070 LIC-1046140 05-0617066 SITE-00004816 512 West Duval Street 32025 Columbia (386) 754-9005 4/24/2020 Public 0 No RegularLake City Resolutions Health Alliance, P.A. Northeast C03 General Intervention COMP-024582 LIC-1046140 05-0617066 SITE-00005031 492 West Duval St. 32055 Columbia (386) 754-9005 4/24/2020 Public 0 No RegularLake City Resolutions Health Alliance, P.A. Northeast C03 Outpatient Treatment COMP-025071 LIC-1046141 05-0617066 SITE-00004816 512 West Duval Street 32025 Columbia (386) 754-9005 4/24/2020 Public 0 No RegularLake City Resolutions Health Alliance, P.A. Northeast C03 Outpatient Treatment COMP-024581 LIC-1046141 05-0617066 SITE-00005031 492 West Duval St. 32055 Columbia (386) 754-9005 4/24/2020 Public 0 No RegularLake Clark Shores Metro Treatment of Florida, LP Southeast C15 Medication and Methadone

Maintenance TreatmentCOMP-024780 LIC-1045386 58-2341219 SITE-00001422 1497 Forest Hill Boulevard, Suite E 33406 Palm

Beach(407) 351-7080 8/3/2020 Private 0 Yes Regular

Lake Mary Sojourners Recovery and Wellness Center, LLC

Central C18 Day or Night Treatment COMP-023113 LIC-1045607 47-2952886 SITE-00000941 1349 International Parkway South, Suite 2421

32746 Seminole (407) 952-8444 4/9/2020 Private 0 No Regular

Lake Mary Sojourners Recovery and Wellness Center, LLC

Central C18 Intensive Outpatient Treatment COMP-023111 LIC-1045606 47-2952886 SITE-00000941 1349 International Parkway South, Suite 2421

32746 Seminole (407) 952-8444 4/9/2020 Private 0 No Regular

Lake Park Academy Health Solutions, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025599 LIC-1046416 81-3205185 SITE-00003007 525 10th Street 33403 Palm Beach

(305) 725-8447 9/4/2020 Private 0 Yes Regular

Lake Park Academy Health Solutions, LLC Southeast C15 Intensive Outpatient Treatment COMP-025598 LIC-1046476 81-3205185 SITE-00003007 525 10th Street 33403 Palm Beach

(305) 725-8447 9/4/2020 Private 0 Yes Regular

Lake Park Academy Health Solutions, LLC Southeast C15 Outpatient Treatment COMP-025597 LIC-1046477 81-3205185 SITE-00003007 525 10th Street 33403 Palm Beach

(305) 725-8447 9/4/2020 Private 0 Yes Regular

Lake Park Pivot Treatment and Wellness Centers Southeast C15 Day or Night Treatment COMP-026080 LIC-1046950 82-5405799 SITE-00005300 330 US1 33403 Palm Beach

(561) 444-3835 10/20/2020 Private 0 No Regular

Lake Park Pivot Treatment and Wellness Centers Southeast C15 Intensive Outpatient Treatment COMP-026077 LIC-1046952 82-5405799 SITE-00005300 330 US1 33403 Palm Beach

(561) 444-3835 10/20/2020 Private 0 No Regular

Lake Park Pivot Treatment and Wellness Centers Southeast C15 Outpatient Treatment COMP-026079 LIC-1046951 82-5405799 SITE-00005300 330 US1 33403 Palm Beach

(561) 444-3835 10/20/2020 Private 0 No Regular

Lake Park The Recovery Team, Inc. Southeast C15 Day or Night Treatment COMP-025856 LIC-1045580 46-0921214 SITE-00004932 509 Federal Highway 33403 Palm Beach

(561) 882-9821 10/27/2020 Private 0 Yes Regular

Lake Park The Recovery Team, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-025854 LIC-1047126 46-0921214 SITE-00004932 509 Federal Highway 33403 Palm Beach

(561) 882-9821 10/27/2020 Private 0 Yes Regular

Lake Park The Recovery Team, Inc. Southeast C15 Intensive Outpatient Treatment COMP-025857 LIC-1046984 46-0921214 SITE-00004932 509 Federal Highway 33403 Palm Beach

(561) 882-9821 10/27/2020 Private 0 Yes Regular

Lake Park The Recovery Team, Inc. Southeast C15 Outpatient Treatment COMP-025855 LIC-1046983 46-0921214 SITE-00004932 509 Federal Highway 33403 Palm Beach

(561) 882-9821 10/27/2020 Private 0 Yes Regular

Lake Placid Hiway Park Black Business Men Association/STAR Program

Central C10 Level 1 Prevention COMP-023808 LIC-1045966 65-0704311 SITE-00000522 141 Josephine Avenue 33852 Highlands (863) 465-8131 5/7/2020 Public 0 No Regular

LAKE WALES Tri-County Human Services, Inc. Central C10 Case Management COMP-025470 LIC-1046576 59-1708182 SITE-00000752 730 STATE ROAD 60 W 33853-2906

Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

Lake Worth Aabaco Behavioral Health Treatment Center, Inc.

Southeast C15 Residential Level 5 COMP-025125 LIC-1046021 26-1841047 SITE-00004643 4827 Kirkwood Rd. 33461 Palm Beach

(561) 508-6360 7/7/2020 Private 4 Yes Regular

Lake Worth Aabaco Behavioral Health Treatment Center, Inc.

Southeast C15 Residential Level 5 COMP-025124 LIC-1046021 26-1841047 SITE-00004644 4851 Kirkwood Rd. 33461 Palm Beach

(561) 508-6360 7/7/2020 Private 0 Yes Regular

LAKE WORTH Bergen of Delray Beach, LLC Southeast C15 Day or Night Treatment COMP-025845 LIC-1046721 81-1690922 SITE-00002768 1530 N FEDERAL HWY 33460-1965

Palm Beach

(561) 632-9732 11/2/2020 Private 0 Yes Regular

LAKE WORTH Bergen of Delray Beach, LLC Southeast C15 Intensive Outpatient Treatment COMP-025847 LIC-1046722 81-1690922 SITE-00002768 1530 N FEDERAL HWY 33460-1965

Palm Beach

(561) 632-9732 11/2/2020 Private 0 Yes Regular

Source: PLADS Page 37 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

LAKE WORTH Bergen of Delray Beach, LLC Southeast C15 Outpatient Treatment COMP-025846 LIC-1046723 81-1690922 SITE-00002768 1530 N FEDERAL HWY 33460-1965

Palm Beach

(561) 632-9732 11/2/2020 Private 0 Yes Regular

LAKE WORTH CAMPUS RECOVERY, LLC Southeast C15 Day or Night Treatment COMP-026864 LIC-1047329 81-5330388 SITE-00004078 19 S DIXIE HWY 33460-3727

Palm Beach

(877) 995-0102 5/6/2020 Private 0 Yes Probationary

Lake Worth CAMPUS RECOVERY, LLC Southeast C15 Day or Night Treatment COMP-026826 LIC-1047329 81-5330388 SITE-00005351 508 Lucerne Ave 33460 Palm Beach

(877) 995-0102 5/6/2020 Private 0 Yes Probationary

LAKE WORTH CAMPUS RECOVERY, LLC Southeast C15 Intensive Outpatient Treatment COMP-026083 LIC-1046011 81-5330388 SITE-00004078 19 S DIXIE HWY 33460-3727

Palm Beach

(877) 995-0102 10/16/2020 Private 0 Yes Regular

Lake Worth CAMPUS RECOVERY, LLC Southeast C15 Intensive Outpatient Treatment COMP-026824 LIC-1046011 81-5330388 SITE-00005351 508 Lucerne Ave 33460 Palm Beach

(877) 995-0102 5/6/2020 Private 0 Yes Probationary

LAKE WORTH CAMPUS RECOVERY, LLC Southeast C15 Outpatient Treatment COMP-026084 LIC-1046012 81-5330388 SITE-00004078 19 S DIXIE HWY 33460-3727

Palm Beach

(877) 995-0102 10/16/2020 Private 0 Yes Regular

Lake Worth CAMPUS RECOVERY, LLC Southeast C15 Outpatient Treatment COMP-026825 LIC-1046012 81-5330388 SITE-00005351 508 Lucerne Ave 33460 Palm Beach

(877) 995-0102 5/6/2020 Private 0 Yes Probationary

LAKE WORTH Center for Alcohol and Drug Studies, Inc. (CADS)

Southeast C15 Day or Night Treatment COMP-024269 LIC-1046314 65-0101421 SITE-00002740 7859 LAKE WORTH RD 33467-3225

Palm Beach

(954) 533-7705 6/4/2020 Private 0 Yes Regular

LAKE WORTH Center for Alcohol and Drug Studies, Inc. (CADS)

Southeast C15 Inpatient Detoxification COMP-024267 LIC-1046315 65-0101421 SITE-00002740 7859 LAKE WORTH RD 33467-3225

Palm Beach

(954) 533-7705 6/4/2020 Private 58 Yes Regular

LAKE WORTH Center for Alcohol and Drug Studies, Inc. (CADS)

Southeast C15 Intensive Outpatient Treatment COMP-024270 LIC-1046316 65-0101421 SITE-00002740 7859 LAKE WORTH RD 33467-3225

Palm Beach

(954) 533-7705 6/4/2020 Private 0 Yes Regular

LAKE WORTH Center for Alcohol and Drug Studies, Inc. (CADS)

Southeast C15 Residential Level 1 COMP-024268 LIC-1046317 65-0101421 SITE-00002740 7859 LAKE WORTH RD 33467-3225

Palm Beach

(954) 533-7705 6/4/2020 Private 82 Yes Regular

Lake Worth Genesis House Recovery Residence, Inc. Southeast C15 Residential Level 3 COMP-026427 LIC-1045364 65-0456525 SITE-00000086 4865 40th Way South 33461 Palm Beach

(561) 508-6360 2/11/2021 Private 8 Yes Regular

Lake Worth Henderson Behavioral Health, Inc. Southeast C15 Outpatient Treatment COMP-026443 LIC-1045315 59-0711167 SITE-00002082 3199 Lake Worth Road 33461 Palm Beach

(954) 791-4300 2/15/2021 Public 0 Yes Regular

Lake Worth Holistix Treatment Centers, LLC Southeast C15 Inpatient Detoxification COMP-025794 LIC-1046936 83-0812034 SITE-00004913 9935 Palomino Drive 33467 Palm Beach

(954) 908-3975 12/9/2020 Private 12 Yes Regular

Lake Worth Holistix Treatment Centers, LLC Southeast C15 Residential Level 1 COMP-025795 LIC-1046935 83-0812034 SITE-00004913 9935 Palomino Drive 33467 Palm Beach

(954) 908-3975 12/9/2020 Private 36 Yes Regular

Lake Worth Map to Health, LLC Southeast C15 Inpatient Detoxification COMP-023976 LIC-1046201 46-2170317 SITE-00004742 3153 Canada Court 33461 Palm Beach

(954) 368-0888 5/22/2020 Private 22 Yes Regular

Lake Worth Map to Health, LLC Southeast C15 Intensive Inpatient Treatment COMP-023975 LIC-1046200 46-2170317 SITE-00004742 3153 Canada Court 33461 Palm Beach

(954) 368-0888 5/22/2020 Private 2 Yes Regular

Lake Worth Map to Health, LLC Southeast C15 Residential Level 1 COMP-023974 LIC-1046202 46-2170317 SITE-00004744 3161 Prince Drive 33461 Palm Beach

(954) 368-0888 5/22/2020 Private 30 Yes Regular

Lake Worth Sunrise Detoxification Center, LLC Southeast C15 Inpatient Detoxification COMP-024052 LIC-1046160 20-0724833 SITE-00000380 3185 Boutwell Road 33461 Palm Beach

(561) 533-0074 9/7/2020 Private 28 Yes Regular

Lake Worth Sunrise Detoxification Center, LLC Southeast C15 Residential Level 1 COMP-024051 LIC-1046151 20-0724833 SITE-00000380 3185 Boutwell Road 33461 Palm Beach

(561) 533-0074 9/7/2020 Private 8 Yes Regular

Lake Worth The Chrysalis Center, Inc. d/b/a Chrysalis Health

Southeast C15 Outpatient Treatment COMP-025289 LIC-1046519 20-1966531 SITE-00004143 230 South Dixie Highway 33460 Palm Beach

(954) 587-1008 9/30/2020 Public 0 Yes Regular

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Day or Night Treatment COMP-026837 LIC-1047254 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 5/11/2020 Private 0 Yes Probationary

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Inpatient Detoxification COMP-026416 LIC-1047252 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 12/7/2020 Private 22 Yes Regular

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Intensive Inpatient Treatment COMP-026418 LIC-1047253 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 3/8/2020 Private 2 Yes Probationary

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Intensive Outpatient Treatment COMP-026836 LIC-1047251 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 5/11/2020 Private 0 Yes Probationary

Source: PLADS Page 38 of 95

Page 39: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Outpatient Treatment COMP-026835 LIC-1047256 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 5/11/2020 Private 0 Yes Probationary

Lake Worth The Treatment Center by The Recovery Village, LLC

Southeast C15 Residential Level 1 COMP-026415 LIC-1047255 83-1918740 SITE-00004956 4905 Lantana Road 33463 Palm Beach

(754) 300-3120 12/7/2020 Private 24 Yes Regular

Lakeland DACCO Behavioral Health, Inc. Central C10 Medication and Methadone Maintenance Treatment

COMP-025330 LIC-1046178 59-1514993 SITE-00002226 348 W. Highlands Drive 33813 Polk (813) 384-4000 10/27/2020 Public 0 Yes Regular

Lakeland DACCO Behavioral Health, Inc. Central C10 Outpatient Treatment COMP-025329 LIC-1046179 59-1514993 SITE-00002226 348 W. Highlands Drive 33813 Polk (813) 384-4000 10/27/2020 Public 0 Yes Regular

Lakeland Drug Prevention Resource Center Central C10 Level 1 Prevention COMP-024820 LIC-1046298 59-2844663 SITE-00002756 621 South Florida Avenue 33801 Polk (863) 802-0777 8/1/2020 Public 0 Yes RegularLakeland Drug Prevention Resource Center Central C10 Level 2 Prevention COMP-024824 LIC-1046299 59-2844663 SITE-00002756 621 South Florida Avenue 33801 Polk (863) 802-0777 8/1/2020 Public 0 Yes RegularLakeland Eckerd Youth Alternatives, Inc. Central C10 Outpatient Treatment COMP-026697 LIC-1046044 59-2551416 SITE-00005322 1140 Combee Road 33801 Polk (727) 461-2990 4/21/2020 Public 0 Yes ProbationaryLAKELAND Environmental Concepts Central C10 Medication And Methadone

Maintenance TreatmentCOMP-025175 LIC-1046572 58-1845112 SITE-00002766 3506 LAKELAND HILLS BLVD 33805-

1964Polk (863) 687-9900 10/18/2020 Private 0 Yes Regular

Lakeland Families First of Florida, LLC Central C10 Outpatient Treatment COMP-025051 LIC-1046168 59-3655895 SITE-00003926 3020 S. Florida Ave. 33803 Polk (813) 290-8560 8/29/2020 Public 0 No RegularLakeland Fulfilling Endeavors Incorporated Central C10 Intensive Outpatient Treatment COMP-025531 LIC-1047298 47-1295636 SITE-00005248 4927 Southfork Dr 33813 Polk (863) 644-5433 9/2/2020 Private 0 No RegularLakeland Fulfilling Endeavors Incorporated Central C10 Outpatient Treatment COMP-025532 LIC-1047297 47-1295636 SITE-00005248 4927 Southfork Dr 33813 Polk (863) 644-5433 9/2/2020 Private 0 No RegularLAKELAND LifeCare of Lakeland, LLC Central C10 Intensive Outpatient Treatment COMP-025203 LIC-1046395 46-3211907 SITE-00002387 625 SCHOOLHOUSE RD 33813-

2615Polk (863) 937-9659 9/24/2020 Private 0 Yes Regular

LAKELAND LifeCare of Lakeland, LLC Central C10 Outpatient Treatment COMP-025345 LIC-1046396 46-3211907 SITE-00002387 625 SCHOOLHOUSE RD 33813-2615

Polk (863) 937-9659 9/25/2020 Private 0 Yes Regular

Lakeland PACE Center for Girls, Inc. Central C10 Level 1 Prevention COMP-024368 LIC-1045495 59-2414492 SITE-00004970 213 Tyler Avenue 33801 Polk (904) 448-8002 6/6/2020 Public 0 No RegularLakeland PACE Center for Girls, Inc. Central C10 Level 2 Prevention COMP-024367 LIC-1045494 59-2414492 SITE-00004970 213 Tyler Avenue 33801 Polk (904) 448-8002 6/6/2020 Public 0 No RegularLAKELAND Peace River Center for Personal

Development, Inc.Central C10 Aftercare COMP-022793 LIC-1045161 59-0818924 SITE-00001704 1831 N CRYSTAL LAKE DR 33801-

5902Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

LAKELAND Peace River Center for Personal Development, Inc.

Central C10 Aftercare COMP-022799 LIC-1045161 59-0818924 SITE-00002785 1825 GILMORE AVE 33805-3017

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

LAKELAND Peace River Center for Personal Development, Inc.

Central C10 Intensive Outpatient Treatment COMP-022798 LIC-1045436 59-0818924 SITE-00002785 1825 GILMORE AVE 33805-3017

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

LAKELAND Peace River Center for Personal Development, Inc.

Central C10 Outpatient Treatment COMP-022794 LIC-1045122 59-0818924 SITE-00001704 1831 N CRYSTAL LAKE DR 33801-5902

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

LAKELAND Peace River Center for Personal Development, Inc.

Central C10 Outpatient Treatment COMP-022797 LIC-1045122 59-0818924 SITE-00002785 1825 GILMORE AVE 33805-3017

Polk (863) 519-0575 3/30/2020 Public 0 Yes Regular

LAKELAND Psychological Management Group, P.A. Central C10 Aftercare COMP-024812 LIC-1046264 65-0305008 SITE-00002797 1845 N CRYSTAL LAKE DR 33801-5902

Polk (813) 505-9565 7/28/2020 Public 0 No Regular

LAKELAND Psychological Management Group, P.A. Central C10 Outpatient Treatment COMP-024811 LIC-1046258 65-0305008 SITE-00002797 1845 N CRYSTAL LAKE DR 33801-5902

Polk (813) 505-9565 7/28/2020 Public 0 No Regular

Lakeland Tri-County Human Services, Inc. Central C10 Aftercare COMP-025086 LIC-1046570 59-1708182 SITE-00005225 1377 E. Lake Parker Drive 33801 Polk (863) 709-9392 7/31/2020 Public 0 Yes RegularLAKELAND Tri-County Human Services, Inc. Central C10 Case Management COMP-025487 LIC-1046576 59-1708182 SITE-00001905 1801 Crystal Lake Drive 33801 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularLakeland Tri-County Human Services, Inc. Central C10 Case Management COMP-025480 LIC-1046576 59-1708182 SITE-00003034 200 N. Kentucky Avenue 33815 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularLAKELAND Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025479 LIC-1046571 59-1708182 SITE-00001905 1801 Crystal Lake Drive 33801 Polk (863) 709-9392 9/26/2020 Public 0 Yes RegularLakeland Tri-County Human Services, Inc. Central C10 Residential Level 2 COMP-025079 LIC-1046575 59-1708182 SITE-00005225 1377 E. Lake Parker Drive 33801 Polk (863) 709-9392 7/31/2020 Public 3 Yes RegularLakeland Tri-County Human Services, Inc. Central C10 Residential Level 4 COMP-025458 LIC-1046577 59-1708182 SITE-00005225 1377 E. Lake Parker Drive 33801 Polk (863) 709-9392 9/26/2020 Public 15 Yes RegularLakeland White Sands Treatment Center Tampa,

LLCCentral C10 Intensive Outpatient Treatment COMP-025871 LIC-1045400 81-3488022 SITE-00004857 2312 N. Kentucky Ave. 33801 Polk (813) 756-5660 3/6/2020 Private 0 Yes Regular

Lakeland White Sands Treatment Center Tampa, LLC

Central C10 Intensive Outpatient Treatment COMP-026631 LIC-1045400 81-3488022 SITE-00004857 2312 N. Kentucky Ave. 33801 Polk (813) 756-5660 11/3/2020 Private 0 Yes Regular

Lakeland White Sands Treatment Center Tampa, LLC

Central C10 Outpatient Treatment COMP-025872 LIC-1046607 81-3488022 SITE-00004857 2312 N. Kentucky Ave. 33801 Polk (813) 756-5660 3/6/2020 Private 0 Yes Regular

Lakeland White Sands Treatment Center Tampa, LLC

Central C10 Outpatient Treatment COMP-026632 LIC-1046607 81-3488022 SITE-00004857 2312 N. Kentucky Ave. 33801 Polk (813) 756-5660 11/3/2020 Private 0 Yes Regular

Land O' Lakes TrueCore Behavioral Solutions, LLC Suncoast C06 Outpatient Treatment COMP-023309 LIC-1045557 54-1859903 SITE-00002788 2953 Wilson Rd 34638 Pasco (813) 514-6275 4/7/2020 Public 0 No Regular

Source: PLADS Page 39 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Lantana Archstone Behavioral Health, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025547 LIC-1047282 83-2834010 SITE-00005257 501 W. Perry Street 33432 Palm Beach

(888) 608-0011 8/12/2020 Private 0 Yes Regular

Lantana Archstone Behavioral Health, LLC Southeast C15 Inpatient Detoxification COMP-025563 LIC-1047279 83-2834010 SITE-00005257 501 W. Perry Street 33432 Palm Beach

(888) 608-0011 8/12/2020 Private 12 Yes Regular

Lantana Archstone Behavioral Health, LLC Southeast C15 Intensive Outpatient Treatment COMP-025549 LIC-1047280 83-2834010 SITE-00005257 501 W. Perry Street 33432 Palm Beach

(888) 608-0011 8/12/2020 Private 0 Yes Regular

Lantana Archstone Behavioral Health, LLC Southeast C15 Outpatient Treatment COMP-025550 LIC-1047281 83-2834010 SITE-00005257 501 W. Perry Street 33432 Palm Beach

(888) 608-0011 8/12/2020 Private 0 Yes Regular

Lantana Archstone Behavioral Health, LLC Southeast C15 Residential Level 1 COMP-025544 LIC-1047283 83-2834010 SITE-00005257 501 W. Perry Street 33432 Palm Beach

(888) 608-0011 8/12/2020 Private 6 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Day or Night Treatment COMP-026573 LIC-1045768 47-5195858 SITE-00002189 660 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Day or Night Treatment COMP-026575 LIC-1045768 47-5195858 SITE-00003507 720 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Intensive Outpatient Treatment COMP-026571 LIC-1045769 47-5195858 SITE-00002189 660 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Intensive Outpatient Treatment COMP-026576 LIC-1045769 47-5195858 SITE-00003507 720 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Outpatient Treatment COMP-026572 LIC-1045770 47-5195858 SITE-00002189 660 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Outpatient Treatment COMP-026577 LIC-1045770 47-5195858 SITE-00003507 720 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 0 Yes Regular

Lantana Comprehensive Wellness Centers, LLC Southeast C15 Residential Level 1 COMP-026476 LIC-1047378 47-5195858 SITE-00002189 660 S Dixie Hwy 33462 Palm Beach

(561) 619-5858 1/22/2021 Private 14 Yes Regular

Lantana District Clinic Holdings, Inc. Southeast C15 Outpatient Treatment COMP-024413 LIC-1045999 45-5591655 SITE-00004679 1250 Southwinds Drive 33462 Palm Beach

(561) 642-1018 5/1/2020 Public 0 No Regular

Lantana Palm Beach Treatment Center LLC Southeast C15 Day or Night Treatment COMP-024605 LIC-1046378 47-2034592 SITE-00004687 327 Lantana Rd 33462 Palm Beach

(561) 454-9119 4/28/2020 Private 0 Yes Regular

Lantana Palm Beach Treatment Center LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024599 LIC-1046377 47-2034592 SITE-00004687 327 Lantana Rd 33462 Palm Beach

(561) 454-9119 4/28/2020 Private 0 Yes Regular

Lantana Palm Beach Treatment Center LLC Southeast C15 Intensive Outpatient Treatment COMP-024607 LIC-1046900 47-2034592 SITE-00004687 327 Lantana Rd 33462 Palm Beach

(561) 454-9119 4/28/2020 Private 0 Yes Regular

Lantana Palm Beach Treatment Center LLC Southeast C15 Outpatient Treatment COMP-024606 LIC-1046899 47-2034592 SITE-00004687 327 Lantana Rd 33462 Palm Beach

(561) 454-9119 4/28/2020 Public 0 Yes Regular

Lantana Palm Beach Treatment Center LLC Southeast C15 Residential Level 5 COMP-024597 LIC-1046379 47-2034592 SITE-00004687 327 Lantana Rd 33462 Palm Beach

(561) 454-9119 4/28/2020 Private 24 Yes Regular

Lantana PB Outpatient Services of Florida, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-026434 LIC-1046977 46-0726802 SITE-00003536 112 North Oak Street, 101-109 33462 Palm Beach

(561) 337-2600 2/28/2021 Private 0 Yes Regular

Lantana PB Outpatient Services of Florida, LLC Southeast C15 Intensive Outpatient Treatment COMP-026435 LIC-1046978 46-0726802 SITE-00003536 112 North Oak Street, 101-109 33462 Palm Beach

(561) 337-2600 2/28/2021 Private 0 Yes Regular

Lantana PB Outpatient Services of Florida, LLC Southeast C15 Residential Level 2 COMP-026433 LIC-1047259 46-0726802 SITE-00003878 118 North Oak Street, 101-104 & 109 33462 Palm Beach

(561) 337-2600 2/28/2021 Private 30 Yes Regular

LANTANA The Beaches Treatment Center LLC Southeast C15 Day or Night Treatment COMP-025934 LIC-1047016 47-2279964 SITE-00000616 1111 HYPOLUXO RD 33462-4271

Palm Beach

(561) 740-6765 12/10/2020 Private 0 Yes Regular

LANTANA The Beaches Treatment Center LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025933 LIC-1047018 47-2279964 SITE-00000616 1111 HYPOLUXO RD 33462-4271

Palm Beach

(561) 740-6765 12/10/2020 Private 0 Yes Regular

LANTANA The Beaches Treatment Center LLC Southeast C15 Intensive Outpatient Treatment COMP-025935 LIC-1047015 47-2279964 SITE-00000616 1111 HYPOLUXO RD 33462-4271

Palm Beach

(561) 740-6765 12/10/2020 Private 0 Yes Regular

LANTANA The Beaches Treatment Center LLC Southeast C15 Outpatient Treatment COMP-025894 LIC-1047017 47-2279964 SITE-00000616 1111 HYPOLUXO RD 33462-4271

Palm Beach

(561) 740-6765 12/10/2020 Private 0 Yes Regular

Source: PLADS Page 40 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Lantana Wellington Retreat, Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-023866 LIC-1045939 27-3457804 SITE-00000969 7051 Seacrest Boulevard 33462 Palm Beach

(561) 296-5288 6/8/2020 Private 0 Yes Regular

Lantana Wellington Retreat, Inc. Southeast C15 Inpatient Detoxification COMP-023865 LIC-1045937 27-3457804 SITE-00000969 7051 Seacrest Boulevard 33462 Palm Beach

(561) 296-5288 6/8/2020 Private 14 Yes Regular

Lantana Wellington Retreat, Inc. Southeast C15 Intensive Outpatient Treatment COMP-023921 LIC-1045940 27-3457804 SITE-00000969 7051 Seacrest Boulevard 33462 Palm Beach

(561) 296-5288 6/8/2020 Private 0 Yes Regular

Lantana Wellington Retreat, Inc. Southeast C15 Outpatient Treatment COMP-023920 LIC-1045938 27-3457804 SITE-00000969 7051 Seacrest Boulevard 33462 Palm Beach

(561) 296-5288 6/8/2020 Private 0 Yes Regular

Lantana Wellington Retreat, Inc. Southeast C15 Residential Level 1 COMP-023747 LIC-1045941 27-3457804 SITE-00000969 7051 Seacrest Boulevard 33462 Palm Beach

(561) 296-5288 6/8/2020 Private 42 Yes Regular

Largo Alternatives in Behavioral Health, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-025200 LIC-1046549 20-1058710 SITE-00000167 1301 Seminole Blvd 33770 Pinellas (727) 584-6055 9/23/2020 Private 0 No Regular

Largo Alternatives in Behavioral Health, Inc. Suncoast C06 Outpatient Treatment COMP-025208 LIC-1046548 20-1058710 SITE-00000167 1301 Seminole Blvd 33770 Pinellas (727) 584-6055 9/23/2020 Private 0 No Regular

Largo Directions for Mental Health, Inc. Suncoast C06 General Intervention COMP-026375 LIC-1045416 59-2092715 SITE-00001922 8823 115th Avenue North 33773 Pinellas (727) 524-4464 1/29/2021 Public 0 No RegularLargo Directions for Mental Health, Inc. Suncoast C06 Outpatient Treatment COMP-026376 LIC-1045405 59-2092715 SITE-00001922 8823 115th Avenue North 33773 Pinellas (727) 524-4464 1/29/2021 Public 0 Yes RegularLargo Frank M Jacobs II Suncoast C06 Outpatient Treatment COMP-025234 LIC-1047275 90-0249639 SITE-00005230 1886 West Bay Drive 33770 Pinellas (727) 531-7988 8/5/2020 Private 0 No RegularLARGO Operation PAR, Inc. Suncoast C06 Employee Assistance Program COMP-025490 LIC-1046663 59-1349234 SITE-00000992 13800 66TH ST 33771-

4909Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 General Intervention COMP-025481 LIC-1046651 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Level 1 Prevention COMP-025497 LIC-1046662 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Level 2 Prevention COMP-025483 LIC-1046656 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Outpatient Treatment COMP-025494 LIC-1046650 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Residential Level 1 COMP-025499 LIC-1046661 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 30 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Residential Level 2 COMP-025488 LIC-1046649 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 85 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Residential Level 3 COMP-025476 LIC-1046666 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 155 Yes Regular

LARGO Operation PAR, Inc. Suncoast C06 Satellite Maintenance COMP-025484 LIC-1046667 59-1349234 SITE-00000992 13800 66TH ST 33771-4909

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

Largo Wayne A. Grosnick and Associates, PA Suncoast C06 Aftercare COMP-023552 LIC-1045541 59-3538238 SITE-00002465 13191 Starkey Rd 33773 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

Largo Wayne A. Grosnick and Associates, PA Suncoast C06 General Intervention COMP-024084 LIC-1046199 59-3538238 SITE-00002465 13191 Starkey Rd 33773 Pinellas (727) 586-6942 4/15/2020 Private 0 No Regular

Largo Wayne A. Grosnick and Associates, PA Suncoast C06 Outpatient Treatment COMP-024305 LIC-1045542 59-3538238 SITE-00002465 13191 Starkey Rd 33773 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

LAUD LAKES Affordable & Convenient Counseling, LLC

Southeast C17 Outpatient Treatment COMP-025466 LIC-1045231 45-4301504 SITE-00002106 3726 W OAKLAND PARK BLVD 33311-1151

Broward (305) 901-5500 7/21/2020 Private 0 No Regular

LAUD LAKES Broward County Sheriffs Office Drug Court Treatment Division

Southeast C17 General Intervention COMP-026161 LIC-1045245 59-6000534 SITE-00000344 2926 N STATE ROAD 7 33313-1912

Broward (954) 935-6780 1/16/2021 Public 0 Yes Regular

LAUD LAKES Broward County Sheriffs Office Drug Court Treatment Division

Southeast C17 Outpatient Treatment COMP-026165 LIC-1045246 59-6000534 SITE-00000344 2926 N STATE ROAD 7 33313-1912

Broward (954) 935-6780 1/16/2021 Public 0 Yes Regular

Lauderdale Lakes Henderson Behavioral Health, Inc. Southeast C17 Outpatient Treatment COMP-026441 LIC-1045315 59-0711167 SITE-00000531 4700 N State Road 7 33319 Broward (954) 791-4300 2/15/2021 Public 0 Yes RegularLauderdale-By-The-Sea

Galt Ocean Rehab, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-025245 LIC-1046992 46-2025768 SITE-00004055 4001 N. Ocean Drive 33308 Broward (954) 583-7283 10/31/2020 Private 0 Yes Regular

Source: PLADS Page 41 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Lauderdale-By-The-Sea

Galt Ocean Rehab, LLC Southeast C17 Intensive Outpatient Treatment COMP-025246 LIC-1046993 46-2025768 SITE-00004055 4001 N. Ocean Drive 33308 Broward (954) 583-7283 10/31/2020 Private 0 Yes Regular

Lauderdale-By-The-Sea

Galt Ocean Rehab, LLC Southeast C17 Outpatient Treatment COMP-025247 LIC-1046991 46-2025768 SITE-00004055 4001 N. Ocean Drive 33308 Broward (954) 583-7283 10/31/2020 Private 0 Yes Regular

Lauderhill COMPASS HEALTH SYSTEMS, P.A. Southeast C17 Outpatient Treatment COMP-024411 LIC-1046158 65-0199979 SITE-00000378 7481 W. Oakland Park Blvd. 33319 Broward (305) 891-0050 6/15/2020 Private 0 No RegularLauderhill COMPASS HEALTH SYSTEMS, P.A. Southeast C17 Outpatient Treatment COMP-024376 LIC-1046158 65-0199979 SITE-00005039 10301 Hagen Ranch Road 33161 Broward (305) 891-0050 6/15/2020 Private 0 No RegularLauderhill Mental Health Association of Broward

County, Inc.Southeast C17 Level 1 Prevention COMP-023624 LIC-1045926 59-0816448 SITE-00000643 7145 W. Oakland Park Boulevard 33313 Broward (954) 746-2055 5/8/2020 Public 0 Yes Regular

Lauderhill Serenity House Detox, LLC Southeast C17 Inpatient Detoxification COMP-026034 LIC-1045078 45-4656050 SITE-00001214 1780 NW 52nd Avenue 33313 Broward (954) 805-0177 1/9/2021 Private 14 Yes RegularLauderhill The Chrysalis Center, Inc. d/b/a

Chrysalis HealthSoutheast C17 Outpatient Treatment COMP-025292 LIC-1046519 20-1966531 SITE-00004338 3521 W Broward Blvd 33312 Broward (954) 587-1008 9/30/2020 Private 0 Yes Regular

Lecanto Eckerd Youth Alternatives, Inc. Central C05 Level 1 Prevention COMP-023256 LIC-1045100 59-2551416 SITE-00004137 3800 W. Educational Path 34461 Citrus (727) 461-2990 4/4/2020 Public 0 Yes RegularLecanto Eckerd Youth Alternatives, Inc. Central C05 Level 2 Prevention COMP-023257 LIC-1045734 59-2551416 SITE-00004137 3800 W. Educational Path 34461 Citrus (727) 461-2990 4/4/2020 Public 0 Yes RegularLecanto LifeStream Behavioral Center Central C05 Case Management COMP-025110 LIC-1046536 59-1561501 SITE-00004941 2419 North Lecanto Hwy. 34461 Citrus (352) 315-7500 9/19/2020 Public 0 Yes RegularLecanto LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025109 LIC-1046334 59-1561501 SITE-00004941 2419 North Lecanto Hwy. 34461 Citrus (352) 315-7500 9/19/2020 Public 0 Yes RegularLecanto The Centers, Inc. Central C05 Case Management COMP-025018 LIC-1046341 51-0177273 SITE-00002063 3238 S. Lecanto Hwy. 34461 Citrus (352) 291-5456 7/9/2020 Public 0 Yes RegularLecanto The Centers, Inc. Central C05 Intensive Outpatient Treatment COMP-026313 LIC-1046330 51-0177273 SITE-00002063 3238 S. Lecanto Hwy. 34461 Citrus (352) 291-5456 4/21/2020 Private 0 Yes ProbationaryLecanto The Centers, Inc. Central C05 Outpatient Treatment COMP-025019 LIC-1046254 51-0177273 SITE-00002063 3238 S. Lecanto Hwy. 34461 Citrus (352) 291-5456 7/9/2020 Public 0 Yes RegularLecanto The Centers, Inc. Central C05 Residential Level 2 COMP-025016 LIC-1046331 51-0177273 SITE-00002063 3238 S. Lecanto Hwy. 34461 Citrus (352) 291-5456 7/9/2020 Public 22 Yes RegularLecanto TrueCore Behavioral Solutions, LLC Central C05 Level 1 Prevention COMP-023305 LIC-1045567 54-1859903 SITE-00002080 2855 West Woodland Ridge Drive 34461 Citrus (813) 514-6275 4/7/2020 Public 0 No RegularLecanto TrueCore Behavioral Solutions, LLC Central C05 Outpatient Treatment COMP-023304 LIC-1045557 54-1859903 SITE-00002080 2855 West Woodland Ridge Drive 34461 Citrus (813) 514-6275 4/7/2020 Public 0 No RegularLeesburg LifeStream Behavioral Center Central C05 Addictions Receiving Facility COMP-025104 LIC-1046544 59-1561501 SITE-00002130 2020 Tally Road 34748 Lake (352) 315-7500 9/19/2020 Public 10 Yes RegularLeesburg LifeStream Behavioral Center Central C05 Case Management COMP-025102 LIC-1046536 59-1561501 SITE-00003126 2018 Tally Road 34748 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularLeesburg LifeStream Behavioral Center Central C05 General Intervention COMP-025100 LIC-1046537 59-1561501 SITE-00001842 1017 W. Dixie Ave. 34748 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularLeesburg LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025101 LIC-1046334 59-1561501 SITE-00003126 2018 Tally Road 34748 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularLeesburg LifeStream Behavioral Center Central C05 Outpatient Treatment COMP-025840 LIC-1046334 59-1561501 SITE-00005276 515 West Main Street 34748 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularLeesburg LifeStream Behavioral Center Central C05 Residential Level 2 COMP-025103 LIC-1046538 59-1561501 SITE-00003126 2018 Tally Road 34748 Lake (352) 315-7500 9/19/2020 Public 16 Yes RegularLehigh Acres Metro Treatment of Florida, LP Suncoast C20 Medication And Methadone

Maintenance TreatmentCOMP-024766 LIC-1045386 58-2341219 SITE-00001678 1415 Homestead Road 33936 Lee (407) 351-7080 8/3/2020 Private 0 Yes Regular

Lighthouse Point Coral Bay Recovery LLC Southeast C17 Intensive Outpatient Treatment COMP-025148 LIC-1047278 82-3209126 SITE-00005209 3170 N. Federal Hwy 33064 Broward (754) 444-1458 8/7/2020 Private 0 No RegularLighthouse Point Coral Bay Recovery LLC Southeast C17 Outpatient Treatment COMP-025149 LIC-1047277 82-3209126 SITE-00005209 3170 N. Federal Hwy 33064 Broward (754) 444-1458 8/7/2020 Private 0 No RegularLive Oak AMH Counseling PL Northeast C03 Aftercare COMP-025615 LIC-1046585 20-2298443 SITE-00002650 112 Piedmont St SE 32064 Suwannee (386) 362-6483 10/18/2020 Private 0 No Regular

Live Oak AMH Counseling PL Northeast C03 Outpatient Treatment COMP-025613 LIC-1046584 20-2298443 SITE-00002650 112 Piedmont St SE 32064 Suwannee (386) 362-6483 10/18/2020 Private 0 No Regular

Live Oak Gateway Foundation, Inc. Northeast C03 Intensive Outpatient Treatment COMP-027150 LIC-1046307 36-2670036 SITE-00004832 5964 US Hwy.90 32060 Suwannee (312) 663-1130 5/17/2020 Public 0 No Probationary

Live Oak Gateway Foundation, Inc. Northeast C03 Level 1 Prevention COMP-024935 LIC-1046478 36-2670036 SITE-00004832 5964 US Hwy.90 32060 Suwannee (312) 663-1130 5/11/2020 Public 0 No Regular

Live Oak Gateway Foundation, Inc. Northeast C03 Outpatient Treatment COMP-026037 LIC-1046306 36-2670036 SITE-00004832 5964 US Hwy.90 32060 Suwannee (312) 663-1130 5/11/2020 Public 0 No Regular

Live Oak Meridian Behavioral Health Care, Inc. Northeast C03 Outpatient Treatment COMP-023137 LIC-1045518 59-1906214 SITE-00003542 920 Nobles Ferry Road 32064 Suwannee (352) 374-5600 3/28/2020 Public 0 Yes Regular

Longwood Families In Recovery of Central Florida Central C18 Outpatient Treatment COMP-023919 LIC-1045717 20-3134721 SITE-00000579 860 East State Road 434 32750 Seminole (407) 260-1165 3/27/2020 Private 0 No Regular

Longwood IMPOWER Central C18 General Intervention COMP-025159 LIC-1047213 65-0439778 SITE-00000311 111 W. Magnolia Ave 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularLongwood IMPOWER Central C18 Intensive Outpatient Treatment COMP-025160 LIC-1047212 65-0439778 SITE-00000311 111 W. Magnolia Ave 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularLongwood IMPOWER Central C18 Level 2 Prevention COMP-025139 LIC-1047211 65-0439778 SITE-00000311 111 W. Magnolia Ave 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularLONGWOOD Informed Families/The Florida Family

Partnership, Inc.Central C18 Level 1 Prevention COMP-026145 LIC-1045239 59-2231894 SITE-00004474 3895 OAKINGTON PL 32779-

7122Seminole (305) 856-4886 12/28/2020 Public 0 No Regular

Longwood My Freedom Quest, Inc. Central C18 Intensive Outpatient Treatment COMP-024286 LIC-1046034 45-0534515 SITE-00004626 2989 West SR 434 32779 Seminole (407) 786-1913 4/30/2020 Private 0 No Regular

Source: PLADS Page 42 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

LONGWOOD Transition House, Inc. Central C18 General Intervention COMP-025426 LIC-1046761 59-3208913 SITE-00001612 2767 W STATE ROAD 434 32779-4880

Seminole (407) 892-5700 9/30/2020 Public 0 Yes Regular

LONGWOOD Transition House, Inc. Central C18 Outpatient Treatment COMP-025432 LIC-1045129 59-3208913 SITE-00001612 2767 W STATE ROAD 434 32779-4880

Seminole (407) 892-5700 9/30/2020 Public 0 Yes Regular

Longwood White Sands Treatment Center Tampa, LLC

Central C18 Intensive Outpatient Treatment COMP-026689 LIC-1045400 81-3488022 SITE-00004901 165 Sabal Palm Drive 32779 Seminole (813) 756-5660 4/28/2020 Private 0 Yes Probationary

Longwood White Sands Treatment Center Tampa, LLC

Central C18 Outpatient Treatment COMP-024558 LIC-1046607 81-3488022 SITE-00004901 165 Sabal Palm Drive 32779 Seminole (813) 756-5660 3/6/2020 Private 0 Yes Regular

Longwood White Sands Treatment Center Tampa, LLC

Central C18 Outpatient Treatment COMP-026619 LIC-1046607 81-3488022 SITE-00004901 165 Sabal Palm Drive 32779 Seminole (813) 756-5660 11/3/2020 Private 0 Yes Regular

Loxahatchee Recovery Resort of the Palm Beaches LLC

Southeast C15 Day or Night Treatment with Community Housing

COMP-024981 LIC-1046366 47-4689669 SITE-00002855 12955 Palms West Drive 33470 Palm Beach

(561) 370-4921 8/6/2020 Private 0 No Regular

Loxahatchee Recovery Resort of the Palm Beaches LLC

Southeast C15 Intensive Outpatient Treatment COMP-024980 LIC-1046365 47-4689669 SITE-00002855 12955 Palms West Drive 33470 Palm Beach

(561) 370-4921 8/6/2020 Private 0 No Regular

Loxahatchee Recovery Resort of the Palm Beaches LLC

Southeast C15 Outpatient Treatment COMP-024979 LIC-1046367 47-4689669 SITE-00002855 12955 Palms West Drive 33470 Palm Beach

(561) 370-4921 8/6/2020 Private 0 No Regular

MACCLENNY Meridian Behavioral Health Care, Inc. Northeast C08 General Intervention COMP-023138 LIC-1045524 59-1906214 SITE-00004381 92 W LOWDER ST 32063-2676

Baker (352) 374-5600 3/28/2020 Public 0 Yes Regular

MACCLENNY Meridian Behavioral Health Care, Inc. Northeast C08 Level 1 Prevention COMP-023140 LIC-1045517 59-1906214 SITE-00004381 92 W LOWDER ST 32063-2676

Baker (352) 374-5600 3/28/2020 Public 0 Yes Regular

MACCLENNY Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023139 LIC-1045518 59-1906214 SITE-00004381 92 W LOWDER ST 32063-2676

Baker (352) 374-5600 3/28/2020 Public 0 Yes Regular

Macclenny Resolutions Health Alliance, P.A. Northeast C08 General Intervention COMP-024628 LIC-1046140 05-0617066 SITE-00002330 209 East MacClenny Avenue 32063 Baker (386) 754-9005 4/24/2020 Public 0 No RegularMacclenny Resolutions Health Alliance, P.A. Northeast C08 Outpatient Treatment COMP-024629 LIC-1046141 05-0617066 SITE-00002330 209 East MacClenny Avenue 32063 Baker (386) 754-9005 4/24/2020 Public 0 No RegularMadeira Beach Tranquil Shores, LLC Suncoast C06 Day or Night Treatment with

Community HousingCOMP-024490 LIC-1045933 27-1294959 SITE-00002173 4300 Duhme Road 33708 Pinellas (727) 391-7001 6/21/2020 Private 0 Yes Regular

Madeira Beach Tranquil Shores, LLC Suncoast C06 Intensive Outpatient Treatment COMP-024491 LIC-1045934 27-1294959 SITE-00002173 4300 Duhme Road 33708 Pinellas (727) 391-7001 6/21/2020 Private 0 Yes RegularMadeira Beach Tranquil Shores, LLC Suncoast C06 Outpatient Treatment COMP-024492 LIC-1045932 27-1294959 SITE-00002173 4300 Duhme Road 33708 Pinellas (727) 391-7001 6/21/2020 Private 0 Yes RegularMadison Apalachee Center, Inc. Northeast C03 Case Management COMP-024070 LIC-1046109 59-1162148 SITE-00001732 225 Sumatra Road 32340 Madison (850) 523-3333 5/12/2020 Public 0 Yes RegularMadison Gateway Foundation, Inc. Northeast C03 Intensive Outpatient Treatment COMP-024674 LIC-1046307 36-2670036 SITE-00004799 382 Southwest MCI Way 32340 Madison (312) 663-1130 5/11/2020 Public 0 No RegularMadison Gateway Foundation, Inc. Northeast C03 Level 1 Prevention COMP-025646 LIC-1046478 36-2670036 SITE-00004799 382 Southwest MCI Way 32340 Madison (312) 663-1130 5/11/2020 Public 0 No RegularMadison Gateway Foundation, Inc. Northeast C03 Outpatient Treatment COMP-024675 LIC-1046306 36-2670036 SITE-00004799 382 Southwest MCI Way 32340 Madison (312) 663-1130 5/11/2020 Public 0 No RegularMAITLAND Central Florida Detox, LLC Central C09 Intensive Outpatient Treatment COMP-025436 LIC-1046713 47-1739920 SITE-00002147 100 E SYBELIA AVE STE 250 32751-

4774Orange (754) 300-3120 10/27/2020 Private 0 Yes Regular

MAITLAND Central Florida Detox, LLC Central C09 Outpatient Treatment COMP-025438 LIC-1046414 47-1739920 SITE-00002147 100 E SYBELIA AVE STE 250 32751-4774

Orange (754) 300-3120 10/27/2020 Private 0 Yes Regular

Maitland Personal Recovery Network Central C09 Outpatient Treatment COMP-026112 LIC-1047334 58-2010734 SITE-00005285 260 Lookout Place 32751 Orange (407) 753-7441 11/6/2020 Private 0 No RegularMangonia Park Intrepid Detox Residential LLC Southeast C15 Inpatient Detoxification COMP-026203 LIC-1047364 84-2812445 SITE-00005308 1120 48th Street 33407 Palm

Beach(646) 645-7773 4/5/2020 Private 10 No Probationary

Mangonia Park Intrepid Detox Residential LLC Southeast C15 Residential Level 1 COMP-026204 LIC-1047365 84-2812445 SITE-00005308 1120 48th Street 33407 Palm Beach

(646) 645-7773 4/5/2020 Private 6 No Probationary

Marathon Guidance/Care Center, Inc. Southern C16 Addictions Receiving Facility COMP-024328 LIC-1046071 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 11 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Aftercare COMP-024323 LIC-1046047 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Case Management COMP-024320 LIC-1046041 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 General Intervention COMP-024321 LIC-1046043 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Inpatient Detoxification COMP-024327 LIC-1046070 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 8 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Intensive Outpatient Treatment COMP-024325 LIC-1046048 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Level 1 Prevention COMP-024319 LIC-1046040 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Level 2 Prevention COMP-024209 LIC-1046042 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Outpatient Detoxification COMP-024326 LIC-1046045 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes RegularMarathon Guidance/Care Center, Inc. Southern C16 Outpatient Treatment COMP-024324 LIC-1046046 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes Regular

Source: PLADS Page 43 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Marathon Guidance/Care Center, Inc. Southern C16 Treatment Alternatives for Safer Communities

COMP-024322 LIC-1046039 59-1458324 SITE-00000154 3000 41st Street Ocean 33050 Monroe (305) 434-7660 7/10/2020 Public 0 Yes Regular

MARGATE Florida Family Care, Inc. Southeast C17 Outpatient Treatment COMP-026338 LIC-1046382 42-1574745 SITE-00001270 1707 N STATE ROAD 7 33063-5777

Broward (954) 421-0494 5/11/2020 Private 0 No Probationary

MARGATE HOLISTIX BY THE SEA, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-024924 LIC-1046719 90-0867060 SITE-00004478 6261 W ATLANTIC BLVD 33063-5128

Broward (954) 491-3413 9/6/2020 Private 0 Yes Regular

MARGATE HOLISTIX BY THE SEA, LLC Southeast C17 Intensive Outpatient Treatment COMP-024925 LIC-1046938 90-0867060 SITE-00004478 6261 W ATLANTIC BLVD 33063-5128

Broward (954) 491-3413 9/6/2020 Private 0 Yes Regular

Margate Inceptions Recovery & Treatment Center, LLC

Southeast C17 Intensive Outpatient Treatment COMP-024927 LIC-1047158 83-2468903 SITE-00004955 1303 N STATE ROAD 7 33063 Broward (877) 432-5632 6/15/2020 Private 0 No Regular

Margate Inceptions Recovery & Treatment Center, LLC

Southeast C17 Outpatient Detoxification COMP-025741 LIC-1047159 83-2468903 SITE-00004955 1303 N STATE ROAD 7 33063 Broward (877) 432-5632 6/15/2020 Private 0 Yes Regular

Margate Inceptions Recovery & Treatment Center, LLC

Southeast C17 Outpatient Treatment COMP-024928 LIC-1047160 83-2468903 SITE-00004955 1303 N STATE ROAD 7 33063 Broward (877) 432-5632 6/15/2020 Private 0 No Regular

Margate Legacy Healing Center Margate, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-026537 LIC-1045230 81-3661016 SITE-00003307 2960 N. State Road 7, Suite 101, 102 33063 Broward (954) 372-1211 2/12/2021 Private 0 Yes Regular

Margate Legacy Healing Center Margate, LLC Southeast C17 Intensive Outpatient Treatment COMP-026538 LIC-1045287 81-3661016 SITE-00003307 2960 N. State Road 7, Suite 101, 102 33063 Broward (954) 372-1211 2/12/2021 Private 0 Yes Regular

Margate Legacy Healing Center Margate, LLC Southeast C17 Outpatient Treatment COMP-026539 LIC-1045286 81-3661016 SITE-00003307 2960 N. State Road 7, Suite 101, 102 33063 Broward (954) 372-1211 2/12/2021 Private 0 Yes Regular

Margate Victory Recovery Center, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-025206 LIC-1047318 84-1798680 SITE-00005234 7618 Margate Blvd 33063 Broward (561) 856-7145 10/5/2020 Private 0 No Regular

Margate Victory Recovery Center, LLC Southeast C17 Intensive Outpatient Treatment COMP-025204 LIC-1047319 84-1798680 SITE-00005234 7618 Margate Blvd 33063 Broward (561) 856-7145 10/5/2020 Private 0 No RegularMargate Victory Recovery Center, LLC Southeast C17 Outpatient Treatment COMP-025205 LIC-1047317 84-1798680 SITE-00005234 7618 Margate Blvd 33063 Broward (561) 856-7145 10/5/2020 Private 0 No RegularMarianna Chemical Addictions Recovery Effort,

IncNorthwest C14 Aftercare COMP-023888 LIC-1045710 59-2912345 SITE-00001524 4150 Hollis Drive 32446 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Marianna Chemical Addictions Recovery Effort, Inc

Northwest C14 General Intervention COMP-023894 LIC-1045702 59-2912345 SITE-00001524 4150 Hollis Drive 32446 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Marianna Chemical Addictions Recovery Effort, Inc

Northwest C14 Outpatient Treatment COMP-023887 LIC-1045693 59-2912345 SITE-00001524 4150 Hollis Drive 32446 Jackson (850) 872-7676 5/7/2020 Public 0 Yes Regular

Marianna Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024688 LIC-1046376 59-1375195 SITE-00001596 4094 Lafayette Street 32446 Jackson (850) 522-4485 7/30/2020 Public 0 Yes Regular

Melbourne Archway Counseling Center Central C18 Intensive Outpatient Treatment COMP-025947 LIC-1047024 75-3246274 SITE-00003997 2401 N. Harbor City Blvd(Unity Building) 32935 Brevard (813) 482-2507 12/17/2020 Private 0 No Regular

Melbourne Circles of Care, Inc. Central C18 Addictions Receiving Facility COMP-024004 LIC-1045819 59-1101553 SITE-00002676 400 East Sheridan Road 32901 Brevard (321) 984-4900 6/27/2020 Public 4 Yes RegularMelbourne Circles of Care, Inc. Central C18 Addictions Receiving Facility COMP-023955 LIC-1045819 59-1101553 SITE-00004701 880 Airport Blvd 32904 Brevard (321) 984-4900 6/27/2020 Public 4 Yes RegularMelbourne Circles of Care, Inc. Central C18 Inpatient Detoxification COMP-024005 LIC-1045807 59-1101553 SITE-00002679 400 East Sheridan Road 32901 Brevard (321) 984-4900 6/27/2020 Public 20 Yes RegularMelbourne Circles of Care, Inc. Central C18 Level 2 Prevention COMP-024000 LIC-1046226 59-1101553 SITE-00000138 4450 West Eau Gallie Blvd 32934 Brevard (321) 984-4900 6/27/2020 Public 0 Yes RegularMelbourne Circles of Care, Inc. Central C18 Outpatient Treatment COMP-024001 LIC-1046227 59-1101553 SITE-00000450 1000 Inspiration Lane 32934 Brevard (321) 984-4900 6/27/2020 Public 0 Yes RegularMelbourne Circles of Care, Inc. Central C18 Residential Level 1 COMP-024003 LIC-1045860 59-1101553 SITE-00002672 400 East Sheridan Road 32901 Brevard (321) 984-4900 6/27/2020 Public 10 Yes RegularMelbourne Circles of Care, Inc. Central C18 Residential Level 2 COMP-025141 LIC-1047011 59-1101553 SITE-00004951 2000 Commerce Drive 32904 Brevard (321) 984-4900 6/27/2020 Public 10 Yes RegularMelbourne Eckerd Youth Alternatives, Inc. Central C18 Level 1 Prevention COMP-023266 LIC-1045100 59-2551416 SITE-00000293 2175 N. Wickham Rd 32935 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularMelbourne Eckerd Youth Alternatives, Inc. Central C18 Level 2 Prevention COMP-023267 LIC-1045734 59-2551416 SITE-00000293 2175 N. Wickham Rd 32935 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularMelbourne Florida Counseling Centers Central C18 Day or Night Treatment COMP-024515 LIC-1045812 30-0679383 SITE-00000987 100 South Harbor City Boulevard 32901 Brevard (321) 259-1662 4/20/2020 Private 0 No RegularMelbourne Florida Counseling Centers Central C18 Intensive Outpatient Treatment COMP-024170 LIC-1045813 30-0679383 SITE-00000987 100 South Harbor City Boulevard 32901 Brevard (321) 259-1662 4/20/2020 Private 0 Yes RegularMelbourne Florida Counseling Centers Central C18 Outpatient Treatment COMP-024137 LIC-1046351 30-0679383 SITE-00000987 100 South Harbor City Boulevard 32901 Brevard (321) 259-1662 4/20/2020 Private 0 Yes RegularMelbourne Space Coast Health Foundation, Inc. Central C18 Outpatient Treatment COMP-024039 LIC-1045653 59-2432318 SITE-00004579 1920 Babcock St. 32901 Brevard (321) 241-6600 3/29/2020 Private 0 No Regular

Melbourne Space Coast Recovery, Inc. Central C18 Outpatient Treatment COMP-023698 LIC-1045667 23-7061960 SITE-00000595 18 West Avenue B 32901 Brevard (321) 632-8730 4/26/2020 Public 0 Yes RegularMelbourne Space Coast Recovery, Inc. Central C18 Outpatient Treatment COMP-025013 LIC-1045667 23-7061960 SITE-00005220 2850 Lake Washington Road 32935 Brevard (321) 632-8730 4/26/2020 Public 0 Yes Regular

Source: PLADS Page 44 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Melbourne Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C18 Outpatient Treatment COMP-026071 LIC-1046986 63-0836930 SITE-00004000 2102 Sarno Road 32935 Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

Melbourne Western Judicial Services, Inc. Central C18 Outpatient Treatment COMP-025561 LIC-1045925 59-3443592 SITE-00000778 1600 Sarno Road 32935 Brevard (321) 868-4066 10/13/2020 Public 0 No Regular

Melbourne White Sands Treatment Center Tampa, LLC

Central C18 Intensive Outpatient Treatment COMP-026686 LIC-1045400 81-3488022 SITE-00004861 1220 Prospect Ave. 32901 Brevard (813) 756-5660 4/28/2020 Private 0 Yes Probationary

Melbourne White Sands Treatment Center Tampa, LLC

Central C18 Outpatient Treatment COMP-024553 LIC-1046607 81-3488022 SITE-00004861 1220 Prospect Ave. 32901 Brevard (813) 756-5660 3/6/2020 Private 0 Yes Regular

Melbourne White Sands Treatment Center Tampa, LLC

Central C18 Outpatient Treatment COMP-026618 LIC-1046607 81-3488022 SITE-00004861 1220 Prospect Ave. 32901 Brevard (813) 756-5660 11/3/2020 Private 0 Yes Regular

Merritt Island Eckerd Youth Alternatives, Inc. Central C18 Level 1 Prevention COMP-023272 LIC-1045100 59-2551416 SITE-00003852 301 Grove Blvd 32953 Brevard (727) 461-2990 4/4/2020 Public 0 Yes RegularMerritt Island Eckerd Youth Alternatives, Inc. Central C18 Level 2 Prevention COMP-023263 LIC-1045734 59-2551416 SITE-00003852 301 Grove Blvd 32953 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularMiami Adaptive Fitness Center, LLC Southern C11 Day or Night Treatment COMP-023673 LIC-1046237 45-5005204 SITE-00004764 1411 Coral Way 33145 Dade (800) 988-9960 5/24/2020 Private 0 Yes RegularMiami Adaptive Fitness Center, LLC Southern C11 Intensive Outpatient Treatment COMP-023676 LIC-1046236 45-5005204 SITE-00004764 1411 Coral Way 33145 Dade (800) 988-9960 5/24/2020 Private 0 Yes RegularMiami Adaptive Fitness Center, LLC Southern C11 Outpatient Treatment COMP-023677 LIC-1046235 45-5005204 SITE-00004764 1411 Coral Way 33145 Dade (800) 988-9960 5/24/2020 Private 0 Yes RegularMiami Advocate Program Inc. Southern C11 Aftercare COMP-025523 LIC-1046605 59-1622809 SITE-00001511 1399 NW 17th Ave, 2nd Floor 33125 Dade (305) 468-4100 10/8/2020 Private 0 Yes RegularMIAMI Advocate Program Inc. Southern C11 Aftercare COMP-025521 LIC-1046605 59-1622809 SITE-00003249 1150 NW 72ND AVE 33126-

1920Dade (305) 468-4100 10/8/2020 Private 0 Yes Regular

Miami Advocate Program Inc. Southern C11 Outpatient Treatment COMP-024948 LIC-1046606 59-1622809 SITE-00001511 1399 NW 17th Ave, 2nd Floor 33125 Dade (305) 468-4100 10/8/2020 Private 0 Yes RegularMIAMI Advocate Program Inc. Southern C11 Outpatient Treatment COMP-025520 LIC-1046606 59-1622809 SITE-00003249 1150 NW 72ND AVE 33126-

1920Dade (305) 468-4100 10/8/2020 Private 0 Yes Regular

Miami Affordable & Convenient Counseling, LLC

Southern C11 Outpatient Treatment COMP-025064 LIC-1045231 45-4301504 SITE-00000066 7500 NW 25th Street 33122 Dade (305) 901-5500 7/21/2020 Private 0 No Regular

Miami Affordable & Convenient Counseling, LLC

Southern C11 Outpatient Treatment COMP-025065 LIC-1045231 45-4301504 SITE-00001024 13833 S. Dixie Highway 33176 Dade (305) 901-5500 7/21/2020 Private 0 No Regular

Miami Affordable & Convenient Counseling, LLC

Southern C11 Outpatient Treatment COMP-025063 LIC-1045231 45-4301504 SITE-00004077 180 NW 183rd Street, Suite 113 33169 Dade (305) 901-5500 7/21/2020 Private 0 No Regular

Miami Affordable & Convenient Counseling, LLC

Southern C11 Outpatient Treatment COMP-025546 LIC-1045231 45-4301504 SITE-00005254 1321 SW 107 Ave 33174 Dade (305) 901-5500 7/21/2020 Private 0 No Regular

MIAMI Agape Network, Inc. Southern C11 Case Management COMP-025649 LIC-1046850 59-2471230 SITE-00004352 22790 SW 112TH AVE 33170-7602

Dade (305) 235-2616 11/1/2020 Public 0 Yes Regular

MIAMI Agape Network, Inc. Southern C11 General Intervention COMP-025651 LIC-1046838 59-2471230 SITE-00004352 22790 SW 112TH AVE 33170-7602

Dade (305) 235-2616 11/1/2020 Public 0 Yes Regular

MIAMI Agape Network, Inc. Southern C11 Outpatient Treatment COMP-025652 LIC-1046839 59-2471230 SITE-00004352 22790 SW 112TH AVE 33170-7602

Dade (305) 235-2616 11/1/2020 Public 0 Yes Regular

MIAMI Agape Network, Inc. Southern C11 Residential Level 2 COMP-025121 LIC-1045351 59-2471230 SITE-00004352 22790 SW 112TH AVE 33170-7602

Dade (305) 235-2616 11/1/2020 Public 85 Yes Regular

Miami AMIkids Behavioral Health, Inc. Southern C11 Outpatient Treatment COMP-025115 LIC-1047069 59-2661387 SITE-00005171 1820 Arthur Lamb Road 33149 Dade (813) 887-3300 7/28/2020 Public 0 No RegularMiami Banyan Community Health Center, Inc. Southern C11 Addictions Receiving Facility COMP-024642 LIC-1046050 27-3164934 SITE-00002496 3800 West Flagler Street 33134 Dade (305) 398-6100 5/22/2020 Public 6 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Case Management COMP-024650 LIC-1046052 27-3164934 SITE-00000756 10720 Caribbean Blvd., Suite 420 33189 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Case Management COMP-024680 LIC-1046052 27-3164934 SITE-00002486 10 NW 42nd Avenue, Suite 500 33126 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Case Management COMP-024648 LIC-1046052 27-3164934 SITE-00002500 3850 West Flagler Street 33134 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Case Management COMP-024640 LIC-1046052 27-3164934 SITE-00002923 1566 SW 1st Street 33135 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 General Intervention COMP-024681 LIC-1046051 27-3164934 SITE-00002486 10 NW 42nd Avenue, Suite 500 33126 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Source: PLADS Page 45 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Miami Banyan Community Health Center, Inc. Southern C11 Outpatient Treatment COMP-024649 LIC-1046035 27-3164934 SITE-00000756 10720 Caribbean Blvd., Suite 420 33189 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Outpatient Treatment COMP-024643 LIC-1046035 27-3164934 SITE-00002486 10 NW 42nd Avenue, Suite 500 33126 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Outpatient Treatment COMP-024647 LIC-1046035 27-3164934 SITE-00002500 3850 West Flagler Street 33134 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Outpatient Treatment COMP-024646 LIC-1046035 27-3164934 SITE-00002505 140 NW 59th Street 33127 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Outpatient Treatment COMP-024639 LIC-1046035 27-3164934 SITE-00002923 1566 SW 1st Street 33135 Dade (305) 398-6100 5/22/2020 Public 0 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Residential Level 2 COMP-024635 LIC-1046036 27-3164934 SITE-00002317 1560 SW 1st St 33135 Dade (305) 398-6100 5/22/2020 Public 16 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Residential Level 2 COMP-024644 LIC-1046036 27-3164934 SITE-00002505 140 NW 59th Street 33127 Dade (305) 398-6100 5/22/2020 Public 104 Yes Regular

Miami Banyan Community Health Center, Inc. Southern C11 Residential Level 4 COMP-024645 LIC-1046062 27-3164934 SITE-00002505 140 NW 59th Street 33127 Dade (305) 398-6100 5/22/2020 Public 16 Yes Regular

Miami Better Way of Miami Southern C11 Day or Night Treatment COMP-026480 LIC-1045086 59-2462933 SITE-00002937 800-820 Northwest 28th Street 33127 Dade (305) 634-3409 2/17/2021 Public 0 Yes RegularMiami Better Way of Miami Southern C11 Day or Night Treatment with

Community HousingCOMP-026483 LIC-1047122 59-2462933 SITE-00003924 989 NW 28 Street 33127 Dade (305) 634-3409 2/17/2021 Public 0 Yes Regular

Miami Better Way of Miami Southern C11 Intensive Outpatient Treatment COMP-026482 LIC-1045085 59-2462933 SITE-00002937 800-820 Northwest 28th Street 33127 Dade (305) 634-3409 2/17/2021 Public 0 Yes RegularMiami Better Way of Miami Southern C11 Outpatient Treatment COMP-026481 LIC-1045087 59-2462933 SITE-00002937 800-820 Northwest 28th Street 33127 Dade (305) 634-3409 2/17/2021 Public 0 Yes RegularMiami Better Way of Miami Southern C11 Residential Level 2 COMP-026479 LIC-1045088 59-2462933 SITE-00002937 800-820 Northwest 28th Street 33127 Dade (305) 634-3409 2/17/2021 Public 60 Yes RegularMIAMI Borinquen Health Care Center, Inc. Southern C11 Aftercare COMP-023291 LIC-1045921 59-1417397 SITE-00001307 100 NE 38TH ST 33137-

3654Dade (305) 576-1599 4/16/2020 Public 0 No Regular

MIAMI Borinquen Health Care Center, Inc. Southern C11 Intensive Outpatient Treatment COMP-023292 LIC-1045922 59-1417397 SITE-00001307 100 NE 38TH ST 33137-3654

Dade (305) 576-1599 4/16/2020 Public 0 No Regular

MIAMI Borinquen Health Care Center, Inc. Southern C11 Outpatient Treatment COMP-023149 LIC-1045976 59-1417397 SITE-00001307 100 NE 38TH ST 33137-3654

Dade (305) 576-1599 4/16/2020 Public 0 No Regular

Miami Brave Health, Inc. Southern C11 Outpatient Treatment COMP-024854 LIC-1046508 38-4049883 SITE-00004756 1951 NW 7th Avenue 33136 Dade (305) 902-6347 8/28/2020 Private 0 No RegularMiami Camelot Community Care, Inc. Southern C11 Outpatient Treatment COMP-023991 LIC-1047152 31-1659302 SITE-00004896 3300 NW 27th Avenue 33142 Dade (727) 593-0003 4/1/2020 Public 0 Yes RegularMIAMI Camillus House, Inc. Southern C11 Day or Night Treatment COMP-025366 LIC-1046526 65-0032862 SITE-00001304 1603 NW 7TH AVE 33136-

1415Dade (305) 374-1065 9/29/2020 Public 0 Yes Regular

MIAMI Camillus House, Inc. Southern C11 Outpatient Treatment COMP-025533 LIC-1047311 65-0032862 SITE-00001304 1603 NW 7TH AVE 33136-1415

Dade (305) 374-1065 9/29/2020 Public 0 Yes Regular

MIAMI Camillus House, Inc. Southern C11 Residential Level 2 COMP-025457 LIC-1046525 65-0032862 SITE-00001304 1603 NW 7TH AVE 33136-1415

Dade (305) 374-1065 9/29/2020 Public 50 Yes Regular

MIAMI Camillus House, Inc. Southern C11 Residential Level 4 COMP-025462 LIC-1046524 65-0032862 SITE-00001304 1603 NW 7TH AVE 33136-1415

Dade (305) 374-1065 9/29/2020 Public 70 Yes Regular

Miami Care Resource Community Health Centers Incorporated

Southern C11 Case Management COMP-025003 LIC-1046375 59-2564198 SITE-00003681 3801 Biscayne Blvd., Suite 210 33137 Dade (305) 576-1234 8/8/2020 Public 0 Yes Regular

Miami Care Resource Community Health Centers Incorporated

Southern C11 General Intervention COMP-025002 LIC-1046374 59-2564198 SITE-00003681 3801 Biscayne Blvd., Suite 210 33137 Dade (305) 576-1234 8/8/2020 Public 0 Yes Regular

Miami Care Resource Community Health Centers Incorporated

Southern C11 Outpatient Treatment COMP-025001 LIC-1046380 59-2564198 SITE-00003681 3801 Biscayne Blvd., Suite 210 33137 Dade (305) 576-1234 8/8/2020 Public 0 Yes Regular

MIAMI Catholic Charities of Miami --- Behavioral Health Services

Southern C11 Case Management COMP-026167 LIC-1045268 59-1279497 SITE-00002963 7707 NW 2ND AVE 33150-2901

Dade (305) 795-0077 1/22/2021 Public 0 Yes Regular

MIAMI Catholic Charities of Miami --- Behavioral Health Services

Southern C11 General Intervention COMP-026166 LIC-1045267 59-1279497 SITE-00002963 7707 NW 2ND AVE 33150-2901

Dade (305) 795-0077 1/22/2021 Public 0 Yes Regular

MIAMI Catholic Charities of Miami --- Behavioral Health Services

Southern C11 Outpatient Treatment COMP-026169 LIC-1045300 59-1279497 SITE-00002963 7707 NW 2ND AVE 33150-2901

Dade (305) 795-0077 1/22/2021 Public 0 Yes Regular

Source: PLADS Page 46 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

MIAMI Catholic Charities of Miami --- Behavioral Health Services

Southern C11 Residential Level 2 COMP-026168 LIC-1045266 59-1279497 SITE-00002963 7707 NW 2ND AVE 33150-2901

Dade (305) 795-0077 1/22/2021 Public 42 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Case Management COMP-026510 LIC-1045350 59-1372690 SITE-00001725 13540 SW 135 Avenue 33186 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Case Management COMP-026454 LIC-1045350 59-1372690 SITE-00003001 10300 Southwest 216th St. 33190 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Case Management COMP-026461 LIC-1045350 59-1372690 SITE-00003005 13850 Southwest 264th Street 33032 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Day or Night Treatment COMP-026452 LIC-1045413 59-1372690 SITE-00003001 10300 Southwest 216th St. 33190 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 General Intervention COMP-026511 LIC-1045396 59-1372690 SITE-00001725 13540 SW 135 Avenue 33186 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 General Intervention COMP-026453 LIC-1045396 59-1372690 SITE-00003001 10300 Southwest 216th St. 33190 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 General Intervention COMP-026463 LIC-1045396 59-1372690 SITE-00003005 13850 Southwest 264th Street 33032 Dade (305) 252-4838 1/31/2021 Private 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Inpatient Detoxification COMP-026455 LIC-1045412 59-1372690 SITE-00003001 10300 Southwest 216th St. 33190 Dade (305) 252-4838 4/28/2020 Public 2 Yes Interim

Miami Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026509 LIC-1045194 59-1372690 SITE-00001725 13540 SW 135 Avenue 33186 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026456 LIC-1045194 59-1372690 SITE-00003001 10300 Southwest 216th St. 33190 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026462 LIC-1045194 59-1372690 SITE-00003005 13850 Southwest 264th Street 33032 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Miami COMPASS HEALTH SYSTEMS, P.A. Southern C11 Outpatient Treatment COMP-024366 LIC-1046158 65-0199979 SITE-00004013 11440 N. Kendall Drive Suite 208 33176 Dade (305) 891-0050 6/15/2020 Private 0 No RegularMiami Comprehensive Human Resources, INC.

D/B/A The Summer HouseSouthern C11 Inpatient Detoxification COMP-024765 LIC-1046105 65-0742285 SITE-00003020 13550 Memorial Highway 33161 Dade (305) 892-8440 7/12/2020 Private 24 Yes Regular

Miami Comprehensive Psychiatric Center Southern C11 Medication and Methadone Maintenance Treatment

COMP-026042 LIC-1046904 59-2013847 SITE-00002325 240 Northwest 183rd Street 33169 Dade (305) 238-5121 11/1/2020 Private 0 Yes Regular

Miami Comprehensive Psychiatric Center Southern C11 Medication and Methadone Maintenance Treatment

COMP-026043 LIC-1046904 59-2013847 SITE-00002888 9735 East Fern Street 33157 Dade (305) 238-5121 11/1/2020 Private 0 Yes Regular

Miami Concept Health Systems, Inc. Southern C11 Aftercare COMP-026138 LIC-1045682 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Aftercare COMP-026137 LIC-1045682 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Case Management COMP-026135 LIC-1045616 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Case Management COMP-026134 LIC-1045616 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 General Intervention COMP-026130 LIC-1045687 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 General Intervention COMP-026152 LIC-1045687 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Intensive Outpatient Treatment COMP-026156 LIC-1045688 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Intensive Outpatient Treatment COMP-026153 LIC-1045688 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Level 1 Prevention COMP-026148 LIC-1045686 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Level 1 Prevention COMP-026142 LIC-1045686 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Level 2 Prevention COMP-026149 LIC-1045685 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Level 2 Prevention COMP-026141 LIC-1045685 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Outpatient Treatment COMP-026155 LIC-1045689 23-7063810 SITE-00002454 4850 Northeast 2nd Avenue 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Outpatient Treatment COMP-026154 LIC-1045689 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 0 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Residential Level 2 COMP-026140 LIC-1045683 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 54 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Residential Level 2 COMP-026160 LIC-1045683 23-7063810 SITE-00003427 140 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 12 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Residential Level 3 COMP-026139 LIC-1045684 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 2 Yes RegularMiami Concept Health Systems, Inc. Southern C11 Residential Level 4 COMP-026159 LIC-1046220 23-7063810 SITE-00002458 162 NE 49 Street 33137 Dade (305) 751-6501 1/7/2021 Public 30 Yes RegularMiami Dade Family Counseling CMHC, Inc. Southern C11 Outpatient Treatment COMP-024853 LIC-1046734 14-1890033 SITE-00002526 1951 NW 17 Avenue 33125 Dade (305) 774-9570 9/11/2020 Private 0 Yes Regular

Source: PLADS Page 47 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Miami Dade Family Counseling, Inc. Southern C11 Aftercare COMP-024548 LIC-1046653 65-0154459 SITE-00004059 3926 NW 167 Street 33054 Dade (305) 827-3252 6/27/2020 Private 0 No RegularMiami Dade Family Counseling, Inc. Southern C11 Outpatient Treatment COMP-024549 LIC-1046249 65-0154459 SITE-00003052 8372 Southwest 8th Street 33144 Dade (305) 827-3252 6/27/2020 Private 0 No RegularMiami Dade Family Counseling, Inc. Southern C11 Outpatient Treatment COMP-024547 LIC-1046249 65-0154459 SITE-00004059 3926 NW 167 Street 33054 Dade (305) 827-3252 6/27/2020 Private 0 No RegularMIAMI Family & Children Faith Coalition, Inc.

(D/B/A Hope for Miami)Southern C11 Level 1 Prevention COMP-025441 LIC-1046683 65-1003163 SITE-00003781 550 N LEJEUNE RD 33126-

5649Dade (786) 388-3000 9/19/2020 Public 0 No Regular

MIAMI Family & Children Faith Coalition, Inc. (D/B/A Hope for Miami)

Southern C11 Level 2 Prevention COMP-025442 LIC-1046684 65-1003163 SITE-00003781 550 N LEJEUNE RD 33126-5649

Dade (786) 388-3000 9/19/2020 Public 0 No Regular

Miami Gang Alternative, Inc Southern C11 Case Management COMP-025715 LIC-1046645 20-2630595 SITE-00005268 12000 Biscayne Blvd 33181 Dade (786) 391-2375 10/7/2020 Public 0 Yes RegularMiami Gang Alternative, Inc Southern C11 Level 1 Prevention COMP-025716 LIC-1045163 20-2630595 SITE-00005268 12000 Biscayne Blvd 33181 Dade (786) 391-2375 10/7/2020 Public 0 Yes RegularMiami Gang Alternative, Inc Southern C11 Level 2 Prevention COMP-025749 LIC-1046874 20-2630595 SITE-00005268 12000 Biscayne Blvd 33181 Dade (786) 391-2375 10/7/2020 Public 0 Yes RegularMiami Gang Alternative, Inc Southern C11 Outpatient Treatment COMP-025769 LIC-1047321 20-2630595 SITE-00005268 12000 Biscayne Blvd 33181 Dade (786) 391-2375 10/7/2020 Public 0 Yes RegularMiami GEO Reentry Services, LLC. Southern C11 Intensive Outpatient Treatment COMP-026022 LIC-1045773 46-1260559 SITE-00003881 1599 SW 187 Ave, Education Bldg. 33194 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Miami GEO Reentry Services, LLC. Southern C11 Intensive Outpatient Treatment COMP-026019 LIC-1045773 46-1260559 SITE-00003885 1601 SW 187 Avenue Education Bldg 33194 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Miami GEO Reentry Services, LLC. Southern C11 Level 1 Prevention COMP-026020 LIC-1045772 46-1260559 SITE-00003881 1599 SW 187 Ave, Education Bldg. 33194 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Miami GEO Reentry Services, LLC. Southern C11 Level 1 Prevention COMP-023983 LIC-1045772 46-1260559 SITE-00003885 1601 SW 187 Avenue Education Bldg 33194 Dade (561) 285-6346 4/4/2020 Public 0 No RegularMiami GEO Reentry Services, LLC. Southern C11 Outpatient Treatment COMP-026021 LIC-1046417 46-1260559 SITE-00003881 1599 SW 187 Ave, Education Bldg. 33194 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Miami GEO Reentry Services, LLC. Southern C11 Outpatient Treatment COMP-026018 LIC-1046417 46-1260559 SITE-00003885 1601 SW 187 Avenue Education Bldg 33194 Dade (561) 285-6346 10/21/2020 Private 0 No Regular

Miami Golden Glades Treatment Center, LLC Southern C11 Outpatient Methadone Detoxification COMP-023006 LIC-1045633 81-4633308 SITE-00003626 100 NW 170th Street Suite 101 33169 Dade (954) 997-1967 3/11/2020 Private 0 Yes Regular

Miami HARBOR VILLAGE, INC. Southern C11 Inpatient Detoxification COMP-024733 LIC-1046672 42-1281853 SITE-00002203 9198 NW 8th Avenue 33150 Dade (212) 935-9400 7/15/2020 Private 23 Yes RegularMiami HARBOR VILLAGE, INC. Southern C11 Residential Level 1 COMP-025372 LIC-1047310 42-1281853 SITE-00002203 9198 NW 8th Avenue 33150 Dade (212) 935-9400 7/15/2020 Private 10 Yes RegularMiami HARBOR VILLAGE, INC. Southern C11 Residential Level 2 COMP-024595 LIC-1045911 42-1281853 SITE-00002203 9198 NW 8th Avenue 33150 Dade (212) 935-9400 7/15/2020 Private 13 Yes RegularMiami Healing Solutions, LLC Southern C11 Day or Night Treatment COMP-026181 LIC-1046754 27-2501096 SITE-00005175 2929 SW 3 Ave. 33129 Dade (305) 858-0662 11/4/2020 Private 0 Yes RegularMiami Healing Solutions, LLC Southern C11 Intensive Outpatient Treatment COMP-026182 LIC-1046755 27-2501096 SITE-00005175 2929 SW 3 Ave. 33129 Dade (305) 858-0662 11/4/2020 Private 0 Yes RegularMiami Healing Solutions, LLC Southern C11 Outpatient Treatment COMP-026180 LIC-1046753 27-2501096 SITE-00005175 2929 SW 3 Ave. 33129 Dade (305) 858-0662 11/4/2020 Private 0 Yes RegularMiami Here's Help, Inc. Southern C11 Outpatient Treatment COMP-024752 LIC-1046194 59-1298067 SITE-00003151 9016 Southwest 152nd Street 33157 Dade (305) 238-8500 8/9/2020 Public 0 Yes RegularMiami Hosanna Community Foundation, Inc. Southern C11 Level 1 Prevention COMP-023580 LIC-1045745 65-0627786 SITE-00000894 2171 NW 56th Street 33142 Dade (305) 637-4404 3/17/2020 Private 0 No Regular

Miami Hosanna Community Foundation, Inc. Southern C11 Level 2 Prevention COMP-023581 LIC-1045746 65-0627786 SITE-00000894 2171 NW 56th Street 33142 Dade (305) 637-4404 3/17/2020 Private 0 No Regular

Miami Infinite Ways Network, Inc. Southern C11 Level 1 Prevention COMP-024608 LIC-1047187 61-1681277 SITE-00002593 13899 Biscayne Blvd. #228 33181 Dade (305) 244-0971 4/29/2020 Private 0 No RegularMiami Infinite Ways Network, Inc. Southern C11 Level 2 Prevention COMP-024618 LIC-1047188 61-1681277 SITE-00002593 13899 Biscayne Blvd. #228 33181 Dade (305) 244-0971 4/29/2020 Private 0 No RegularMiami Infinite Ways Network, Inc. Southern C11 Outpatient Treatment COMP-022936 LIC-1045963 61-1681277 SITE-00002593 13899 Biscayne Blvd. #228 33181 Dade (305) 244-0971 4/29/2020 Private 0 No RegularMiami Informed Families/The Florida Family

Partnership, Inc.Southern C11 Level 1 Prevention COMP-026183 LIC-1045239 59-2231894 SITE-00002259 2490 Coral Way 33145 Dade (305) 856-4886 12/28/2020 Public 0 No Regular

Miami Institute for Child and Family Health, Inc.

Southern C11 Level 1 Prevention COMP-024304 LIC-1045540 59-0866060 SITE-00002689 15490 NW 7th Avenue 33169 Dade (305) 685-0381 6/7/2020 Public 0 Yes Regular

MIAMI Jackson Health System Southern C11 Inpatient Detoxification COMP-025781 LIC-1045142 59-1713947 SITE-00002129 1695 NW 9TH AVE 33136-1409

Dade (305) 355-8234 12/26/2020 Public 15 Yes Regular

Miami Jessie Trice Community Health Center, Inc.

Southern C11 Case Management COMP-023960 LIC-1046172 59-1235617 SITE-00003079 5361 NW 22nd Avenue 33142 Dade (305) 805-1700 5/31/2020 Public 0 Yes Regular

Miami Jessie Trice Community Health Center, Inc.

Southern C11 General Intervention COMP-023958 LIC-1046173 59-1235617 SITE-00003079 5361 NW 22nd Avenue 33142 Dade (305) 805-1700 5/31/2020 Public 0 Yes Regular

Miami Jessie Trice Community Health Center, Inc.

Southern C11 Outpatient Treatment COMP-023961 LIC-1046174 59-1235617 SITE-00003079 5361 NW 22nd Avenue 33142 Dade (305) 805-1700 5/31/2020 Public 0 Yes Regular

Source: PLADS Page 48 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Miami Jessie Trice Community Health Center, Inc.

Southern C11 Outpatient Treatment COMP-023963 LIC-1046174 59-1235617 SITE-00003700 4692 NW 183rd Street 33055 Dade (305) 805-1700 5/31/2020 Public 0 Yes Regular

Miami Jessie Trice Community Health Center, Inc.

Southern C11 Residential Level 2 COMP-023956 LIC-1046176 59-1235617 SITE-00003075 2985 NW 54th Street 33142 Dade (305) 805-1700 5/31/2020 Public 40 Yes Regular

Miami Jessie Trice Community Health Center, Inc.

Southern C11 Residential Level 4 COMP-023957 LIC-1046175 59-1235617 SITE-00003075 2985 NW 54th Street 33142 Dade (305) 805-1700 5/31/2020 Public 8 Yes Regular

MIAMI Jewish Community Services of South Florida, Inc.

Southern C11 Case Management COMP-025042 LIC-1046637 59-0637867 SITE-00003650 7875 SW 104TH ST 33156-2642

Dade (305) 899-1587 10/24/2020 Public 0 Yes Regular

MIAMI Jewish Community Services of South Florida, Inc.

Southern C11 Outpatient Treatment COMP-025039 LIC-1046636 59-0637867 SITE-00003200 18999 BISCAYNE BLVD 33180-2814

Dade (305) 899-1587 10/24/2020 Public 0 Yes Regular

MIAMI Jewish Community Services of South Florida, Inc.

Southern C11 Outpatient Treatment COMP-025045 LIC-1046636 59-0637867 SITE-00003650 7875 SW 104TH ST 33156-2642

Dade (305) 899-1587 10/24/2020 Public 0 Yes Regular

Miami Miami Counseling Services Southern C11 Outpatient Treatment COMP-025879 LIC-1045092 65-0266802 SITE-00005277 13255 SW 137 Ave 33186 Dade (305) 388-7774 3/6/2020 Private 0 No RegularMiami Miami Dade Community Services, Inc. Southern C11 Day or Night Treatment COMP-026118 LIC-1045592 82-0583109 SITE-00002407 1901 SW 1st Street 2nd Floor 33135 Dade (305) 631-8933 2/12/2021 Private 0 Yes Regular

Miami Miami Dade Community Services, Inc. Southern C11 Intensive Outpatient Treatment COMP-026117 LIC-1045588 82-0583109 SITE-00002407 1901 SW 1st Street 2nd Floor 33135 Dade (305) 631-8933 2/12/2021 Private 0 Yes Regular

Miami Miami Dade Community Services, Inc. Southern C11 Outpatient Treatment COMP-026119 LIC-1045593 82-0583109 SITE-00002407 1901 SW 1st Street 2nd Floor 33135 Dade (305) 631-8933 2/12/2021 Private 0 Yes Regular

Miami Miami-Dade County Southern C11 Day or Night Treatment COMP-023157 LIC-1045853 59-6000573 SITE-00003281 3140 N. W. 76th Street 33147 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularMiami Miami-Dade County Southern C11 Employee Assistance Program COMP-025545 LIC-1046714 59-6000573 SITE-00004126 601 NW 1st Court, Suite 15-050 33136 Dade 11/27/2020 Public 0 No Regular

Miami Miami-Dade County Southern C11 General Intervention COMP-023147 LIC-1045838 59-6000573 SITE-00003281 3140 N. W. 76th Street 33147 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularMiami Miami-Dade County Southern C11 Outpatient Treatment COMP-023150 LIC-1045814 59-6000573 SITE-00000781 3750 South Dixie Hwy 33133 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularMiami Miami-Dade County Southern C11 Outpatient Treatment COMP-023155 LIC-1045814 59-6000573 SITE-00003281 3140 N. W. 76th Street 33147 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularMiami Miami-Dade County Southern C11 Outpatient Treatment COMP-023153 LIC-1045814 59-6000573 SITE-00003289 3190 Northwest 116th Street (Kennedy Dr.

South)33167 Dade (786) 469-4600 3/19/2020 Public 0 Yes Regular

Miami Miami-Dade County Southern C11 Outpatient Treatment COMP-023154 LIC-1045814 59-6000573 SITE-00003301 6950 Northwest 41st Street 33166 Dade (786) 469-4600 3/19/2020 Public 0 Yes RegularMiami Miami-Dade County Southern C11 Residential Level 2 COMP-023152 LIC-1045833 59-6000573 SITE-00003281 3140 N. W. 76th Street 33147 Dade (786) 469-4600 3/19/2020 Public 78 Yes RegularMiami Miami-Dade County Southern C11 Residential Level 4 COMP-023148 LIC-1045839 59-6000573 SITE-00003281 3140 N. W. 76th Street 33147 Dade (786) 469-4600 3/19/2020 Public 31 Yes RegularMiami Miami-Dade County Southern C11 Treatment Alternatives for Safer

CommunitiesCOMP-023915 LIC-1045897 59-6000573 SITE-00003309 275 Northwest 2nd Street, 2nd FL. 33128 Dade (305) 755-6200 6/22/2020 Public 0 Yes Regular

Miami Morning Star Centers, Inc. Southern C11 Day or Night Treatment COMP-026213 LIC-1045713 20-3590004 SITE-00001014 7811 Coral Way Suite 106 33155 Dade (305) 412-0138 2/28/2021 Private 0 Yes RegularMiami Morning Star Centers, Inc. Southern C11 Intensive Outpatient Treatment COMP-026215 LIC-1045714 20-3590004 SITE-00001014 7811 Coral Way Suite 106 33155 Dade (305) 412-0138 2/28/2021 Private 0 Yes RegularMiami Morning Star Centers, Inc. Southern C11 Outpatient Treatment COMP-026214 LIC-1045712 20-3590004 SITE-00001014 7811 Coral Way Suite 106 33155 Dade (305) 412-0138 2/28/2021 Private 0 Yes RegularMiami New Horizons CMHC, Inc. Southern C11 Case Management COMP-024050 LIC-1045992 59-2055751 SITE-00003347 1469 Northwest 36th Street 33142 Dade (305) 635-0366 6/10/2020 Public 0 Yes RegularMiami New Horizons CMHC, Inc. Southern C11 General Intervention COMP-026770 LIC-1047379 59-2055751 SITE-00003347 1469 Northwest 36th Street 33142 Dade (305) 635-0366 4/26/2020 Public 0 Yes ProbationaryMiami New Horizons CMHC, Inc. Southern C11 Level 1 Prevention COMP-023900 LIC-1046017 59-2055751 SITE-00003347 1469 Northwest 36th Street 33142 Dade (305) 635-0366 6/10/2020 Public 0 Yes RegularMiami New Horizons CMHC, Inc. Southern C11 Outpatient Treatment COMP-023942 LIC-1045952 59-2055751 SITE-00001115 1481 NW 36 Street 33142 Dade (305) 635-0366 6/10/2020 Public 0 Yes RegularMiami New Horizons CMHC, Inc. Southern C11 Outpatient Treatment COMP-023916 LIC-1045952 59-2055751 SITE-00003347 1469 Northwest 36th Street 33142 Dade (305) 635-0366 6/10/2020 Public 0 Yes RegularMIAMI PACE Center for Girls, Inc. Southern C11 Level 1 Prevention COMP-024260 LIC-1045495 59-2414492 SITE-00004445 1400 NW 36TH ST 33142-

5558Dade (904) 448-8002 6/6/2020 Public 0 No Regular

MIAMI PACE Center for Girls, Inc. Southern C11 Level 2 Prevention COMP-024261 LIC-1045494 59-2414492 SITE-00004445 1400 NW 36TH ST 33142-5558

Dade (904) 448-8002 6/6/2020 Public 0 No Regular

Miami Palm Beach Recovery, LLC Southern C11 Intensive Outpatient Treatment COMP-025589 LIC-1045584 81-3914459 SITE-00004737 9350 SW 72 Street 33173 Dade (561) 833-7553 9/29/2020 Private 0 Yes RegularMiami Palm Beach Recovery, LLC Southern C11 Outpatient Treatment COMP-025590 LIC-1046581 81-3914459 SITE-00004737 9350 SW 72 Street 33173 Dade (561) 833-7553 9/29/2020 Private 0 Yes RegularMiami Regis House Southern C11 Intensive Outpatient Treatment COMP-026254 LIC-1045569 59-2446131 SITE-00003414 2010 Northwest 7th Street 33125 Dade (305) 642-7600 3/1/2021 Public 0 Yes RegularMiami Regis House Southern C11 Intensive Outpatient Treatment COMP-026256 LIC-1045569 59-2446131 SITE-00003539 9245 SW 157 Street Suite 203 33157 Dade (305) 642-7600 3/1/2021 Public 0 Yes RegularMiami Regis House Southern C11 Level 1 Prevention COMP-026252 LIC-1045615 59-2446131 SITE-00003414 2010 Northwest 7th Street 33125 Dade (305) 642-7600 3/1/2021 Public 0 Yes RegularMiami Regis House Southern C11 Outpatient Treatment COMP-026249 LIC-1045614 59-2446131 SITE-00003414 2010 Northwest 7th Street 33125 Dade (305) 642-7600 3/1/2021 Public 0 Yes RegularMiami Regis House Southern C11 Outpatient Treatment COMP-026255 LIC-1045614 59-2446131 SITE-00003539 9245 SW 157 Street Suite 203 33157 Dade (305) 642-7600 3/1/2021 Public 0 Yes Regular

Source: PLADS Page 49 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Miami Safe Future, LLC Southern C11 Outpatient Treatment COMP-023171 LIC-1045660 45-3680553 SITE-00002530 1400 NE 125th Street 33161 Dade (866) 599-2562 4/9/2020 Private 0 Yes RegularMiami Safe Landing, Inc. Southern C11 Residential Level 5 COMP-025316 LIC-1046652 81-3564470 SITE-00003638 638 NE 83rd Terrace 33138 Dade (786) 709-7912 10/8/2020 Private 14 Yes RegularMiami SUNSHINE BEHAVIOR CENTER INC Southern C11 Outpatient Treatment COMP-026293 LIC-1047103 47-5323680 SITE-00004793 9600 SW 8 STREET 33174 Dade (786) 615-8388 1/28/2021 Private 0 Yes RegularMiami SYX CORP Southern C11 Outpatient Treatment COMP-026129 LIC-1045191 80-0886321 SITE-00003311 7575 West Flagler Street 2nd Floor 33144 Dade (305) 377-3297 1/9/2021 Private 0 Yes RegularMIAMI The Chrysalis Center, Inc. d/b/a

Chrysalis HealthSouthern C11 Intensive Outpatient Treatment COMP-025293 LIC-1046518 20-1966531 SITE-00002738 2215 NW 36TH ST 33142-

5357Dade (954) 587-1008 9/30/2020 Private 0 Yes Regular

Miami The Treatment Center by The Recovery Village, LLC

Southern C11 Day or Night Treatment COMP-026547 LIC-1047254 83-1918740 SITE-00005328 8585 Sunset Drive 33143 Dade (754) 300-3120 4/29/2020 Private 0 Yes Probationary

Miami The Treatment Center by The Recovery Village, LLC

Southern C11 Intensive Outpatient Treatment COMP-026546 LIC-1047251 83-1918740 SITE-00005328 8585 Sunset Drive 33143 Dade (754) 300-3120 4/29/2020 Private 0 Yes Probationary

Miami The Treatment Center by The Recovery Village, LLC

Southern C11 Outpatient Treatment COMP-026543 LIC-1047256 83-1918740 SITE-00005328 8585 Sunset Drive 33143 Dade (754) 300-3120 4/29/2020 Private 0 Yes Probationary

Miami The Village South, Inc. Southern C11 Aftercare COMP-023039 LIC-1045449 59-1452736 SITE-00003525 169 E. Flagler Street, Suite 1300 33131 Dade (305) 573-3784 3/14/2020 Public 0 Yes RegularMiami The Village South, Inc. Southern C11 Case Management COMP-025570 LIC-1045448 59-1452736 SITE-00005242 7867 N. Kendall Drive 33156 Dade (305) 573-3784 3/14/2020 Private 0 Yes RegularMiami The Village South, Inc. Southern C11 Case Management COMP-026691 LIC-1045448 59-1452736 SITE-00005344 2272 SW 7th Street 33135 Dade (305) 573-3784 5/24/2020 Public 0 Yes ProbationaryMiami The Village South, Inc. Southern C11 Level 1 Prevention COMP-023038 LIC-1045454 59-1452736 SITE-00003525 169 E. Flagler Street, Suite 1300 33131 Dade (305) 573-3784 3/14/2020 Public 0 Yes RegularMiami The Village South, Inc. Southern C11 Level 2 Prevention COMP-023037 LIC-1045453 59-1452736 SITE-00003525 169 E. Flagler Street, Suite 1300 33131 Dade (305) 573-3784 3/14/2020 Public 0 Yes RegularMiami The Village South, Inc. Southern C11 Outpatient Treatment COMP-023040 LIC-1045450 59-1452736 SITE-00003525 169 E. Flagler Street, Suite 1300 33131 Dade (305) 573-3784 3/14/2020 Public 0 Yes RegularMiami The Village South, Inc. Southern C11 Outpatient Treatment COMP-025569 LIC-1045450 59-1452736 SITE-00005242 7867 N. Kendall Drive 33156 Dade (305) 573-3784 3/14/2020 Private 0 Yes RegularMiami The Village South, Inc. Southern C11 Outpatient Treatment COMP-026687 LIC-1045450 59-1452736 SITE-00005344 2272 SW 7th Street 33135 Dade (305) 573-3784 5/24/2020 Public 0 Yes ProbationaryMiami Transitions Recovery Program Southern C11 Residential Level 5 COMP-024564 LIC-1046177 65-0134943 SITE-00003478 19377 Northeast 10th Avenue 33179 Dade (305) 949-9001 5/20/2020 Private 72 Yes RegularMiami TrueCore Behavioral Solutions, LLC Southern C11 Outpatient Treatment COMP-023311 LIC-1045557 54-1859903 SITE-00003751 10855 SW 84 Street 33173 Dade (813) 514-6275 4/7/2020 Public 0 No RegularMIAMI uleru Project, LLC Southern C11 Day or Night Treatment COMP-025750 LIC-1046473 81-1723342 SITE-00004387 2000 S DIXIE HWY 33133-

2455Dade (305) 563-8508 10/29/2020 Private 0 No Regular

MIAMI uleru Project, LLC Southern C11 Intensive Outpatient Treatment COMP-025938 LIC-1046474 81-1723342 SITE-00004387 2000 S DIXIE HWY 33133-2455

Dade (305) 563-8508 10/29/2020 Private 0 No Regular

MIAMI uleru Project, LLC Southern C11 Outpatient Treatment COMP-025937 LIC-1046479 81-1723342 SITE-00004387 2000 S DIXIE HWY 33133-2455

Dade (305) 563-8508 10/29/2020 Private 0 No Regular

Miami Volunteers of America of Florida, Inc. Southern C11 Aftercare COMP-025356 LIC-1046583 58-1856992 SITE-00003323 1492 West Flagler Street 33135 Dade (904) 405-1053 9/9/2020 Public 0 Yes Regular

Miami Volunteers of America of Florida, Inc. Southern C11 Case Management COMP-025354 LIC-1046582 58-1856992 SITE-00003323 1492 West Flagler Street 33135 Dade (904) 405-1053 9/9/2020 Public 0 Yes Regular

Miami Volunteers of America of Florida, Inc. Southern C11 Outpatient Treatment COMP-025355 LIC-1046169 58-1856992 SITE-00003323 1492 West Flagler Street 33135 Dade (904) 405-1053 9/9/2020 Public 0 Yes Regular

Miami West Miami CMHC, Inc Southern C11 Outpatient Treatment COMP-023290 LIC-1045498 20-4311591 SITE-00000386 283 Park Blvd. 33126 Dade (305) 262-0099 3/14/2020 Private 0 No RegularMiami West Miami CMHC, Inc Southern C11 Outpatient Treatment COMP-026760 LIC-1045498 20-4311591 SITE-00005349 7915 NW 2nd Street 33126 Dade (305) 262-0099 3/14/2020 Private 0 No RegularMiami Beach Douglas Gardens Community Mental

Health Center of Miami Beach, Inc.Southern C11 Outpatient Treatment COMP-024651 LIC-1046493 59-1923396 SITE-00003757 1680 Meridian Avenue, Suite #501 33139 Dade (305) 403-0654 7/18/2020 Public 0 Yes Regular

Miami Beach EDGAR PENA L.M.H.C., C.A.P. & ASSOCIATES

Southern C11 Outpatient Treatment COMP-023980 LIC-1046129 80-0708704 SITE-00001723 1354 Washington Avenue Suite 221 33139 Dade (305) 766-8064 6/7/2020 Private 0 No Regular

Miami Beach Jewish Community Services of South Florida, Inc.

Southern C11 Outpatient Treatment COMP-025040 LIC-1046636 59-0637867 SITE-00003209 333 41st Street 33140 Dade (305) 899-1587 10/24/2020 Public 0 Yes Regular

Miami Gardens HARBOR VILLAGE, INC. Southern C11 Day or Night Treatment COMP-024594 LIC-1046660 42-1281853 SITE-00001584 1515 NW 167th St Suite 430 33169 Dade (212) 935-9400 7/15/2020 Private 0 Yes RegularMiami Gardens HARBOR VILLAGE, INC. Southern C11 Intensive Outpatient Treatment COMP-024730 LIC-1046673 42-1281853 SITE-00001584 1515 NW 167th St Suite 430 33169 Dade (212) 935-9400 7/15/2020 Private 0 Yes RegularMiami Gardens HARBOR VILLAGE, INC. Southern C11 Outpatient Treatment COMP-024735 LIC-1046674 42-1281853 SITE-00001584 1515 NW 167th St Suite 430 33169 Dade (212) 935-9400 7/15/2020 Private 0 Yes RegularMiami Gardens HARBOR VILLAGE, INC. Southern C11 Residential Level 1 COMP-025371 LIC-1047310 42-1281853 SITE-00003937 9200 NW 8th Ave 33150 Dade (212) 935-9400 7/15/2020 Private 18 Yes RegularMiami Gardens HARBOR VILLAGE, INC. Southern C11 Residential Level 2 COMP-024593 LIC-1045911 42-1281853 SITE-00003937 9200 NW 8th Ave 33150 Dade (212) 935-9400 7/15/2020 Private 36 Yes RegularMiami Gardens Integrity Behavioral Health, LLC Southern C11 Intensive Outpatient Treatment COMP-024738 LIC-1046300 81-2868488 SITE-00004765 160 NW 176TH ST 33169-

5041Dade (305) 816-6300 7/16/2020 Private 0 Yes Regular

Source: PLADS Page 50 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Miami Gardens Integrity Behavioral Health, LLC Southern C11 Outpatient Treatment COMP-024531 LIC-1046301 81-2868488 SITE-00004765 160 NW 176TH ST 33169-5041

Dade (305) 816-6300 7/16/2020 Private 0 Yes Regular

Miami Gardens Multicultural Care Centers, LLC Southern C11 Intensive Outpatient Treatment COMP-024208 LIC-1046342 46-2050377 SITE-00003778 20401 NW 2nd Avenue Suite 308 33169 Dade (305) 454-9214 6/11/2020 Private 0 Yes RegularMiami Gardens Multicultural Care Centers, LLC Southern C11 Outpatient Treatment COMP-024207 LIC-1046343 46-2050377 SITE-00003778 20401 NW 2nd Avenue Suite 308 33169 Dade (305) 454-9214 6/11/2020 Private 0 Yes RegularMiami Gardens Paramount Counseling Services, Inc Southern C11 Outpatient Treatment COMP-026243 LIC-1046997 83-1870716 SITE-00004917 18350 NW 2nd Avenue 33169 Dade (305) 454-9672 12/10/2020 Private 0 No Regular

Miami Gardens POSITIVE POINT INC Southern C11 Intensive Outpatient Treatment COMP-025047 LIC-1047316 83-3939776 SITE-00005218 111 N.W. 183rd Street 33169 Dade (305) 916-8818 10/5/2020 Private 0 No RegularMiami Gardens POSITIVE POINT INC Southern C11 Outpatient Treatment COMP-025048 LIC-1047315 83-3939776 SITE-00005218 111 N.W. 183rd Street 33169 Dade (305) 916-8818 10/5/2020 Private 0 No RegularMIAMI GARDENS Safe Landing, Inc. Southern C11 Day or Night Treatment COMP-025312 LIC-1046648 81-3564470 SITE-00003093 1515 NW 167TH ST STE 180 33169-

5147Dade (786) 709-7912 10/8/2020 Private 0 Yes Regular

MIAMI GARDENS Safe Landing, Inc. Southern C11 Intensive Outpatient Treatment COMP-025313 LIC-1046647 81-3564470 SITE-00003093 1515 NW 167TH ST STE 180 33169-5147

Dade (786) 709-7912 10/8/2020 Private 0 Yes Regular

MIAMI GARDENS Safe Landing, Inc. Southern C11 Outpatient Treatment COMP-025315 LIC-1046646 81-3564470 SITE-00003093 1515 NW 167TH ST STE 180 33169-5147

Dade (786) 709-7912 10/8/2020 Private 0 Yes Regular

Miami Gardens The Center for Family and Child Enrichment, Inc

Southern C11 Case Management COMP-024452 LIC-1046242 05-9175062 SITE-00004689 1825 NW 167 Street 33056 Dade (305) 624-7450 7/24/2020 Public 0 Yes Regular

Miami Gardens The Center for Family and Child Enrichment, Inc

Southern C11 General Intervention COMP-024453 LIC-1046241 05-9175062 SITE-00004689 1825 NW 167 Street 33056 Dade (305) 624-7450 7/24/2020 Public 0 Yes Regular

Miami Gardens The Center for Family and Child Enrichment, Inc

Southern C11 Intensive Outpatient Treatment COMP-024455 LIC-1046243 05-9175062 SITE-00004689 1825 NW 167 Street 33056 Dade (305) 624-7450 7/24/2020 Public 0 Yes Regular

Miami Gardens The Center for Family and Child Enrichment, Inc

Southern C11 Level 1 Prevention COMP-024454 LIC-1046244 05-9175062 SITE-00004689 1825 NW 167 Street 33056 Dade (305) 624-7450 7/24/2020 Public 0 Yes Regular

Miami Gardens The Center for Family and Child Enrichment, Inc

Southern C11 Outpatient Treatment COMP-024451 LIC-1046212 05-9175062 SITE-00004689 1825 NW 167 Street 33056 Dade (305) 624-7450 7/24/2020 Public 0 Yes Regular

Miami Springs PsychSolutions, Inc. Southern C11 Outpatient Treatment COMP-025176 LIC-1046413 65-0428340 SITE-00002945 700 South Royal Poinciana Blvd., Suite 300 33166 Dade (305) 668-9000 4/14/2020 Private 0 Yes Regular

Milton Gateway Foundation, Inc. Northwest C01 Intensive Outpatient Treatment COMP-024700 LIC-1046307 36-2670036 SITE-00005190 5850 East Milton Rd 32583 Santa Rosa (312) 663-1130 5/11/2020 Public 0 No Regular

Milton Gateway Foundation, Inc. Northwest C01 Outpatient Treatment COMP-024701 LIC-1046306 36-2670036 SITE-00005190 5850 East Milton Rd 32583 Santa Rosa (312) 663-1130 5/11/2020 Public 0 No Regular

MILTON GEO Corrections and Detention, Inc Northwest C01 Intensive Outpatient Treatment COMP-022587 LIC-1045326 46-1258100 SITE-00000715 5914 JEFF ATES RD 32583-8233

Santa Rosa (863) 946-2420 1/13/2021 Public 0 No Regular

MILTON GEO Corrections and Detention, Inc Northwest C01 Intensive Outpatient Treatment COMP-026228 LIC-1045326 46-1258100 SITE-00000715 5914 JEFF ATES RD 32583-8233

Santa Rosa (863) 946-2420 1/13/2021 Public 0 No Regular

MILTON LAKEVIEW CENTER, INC. Northwest C01 General Intervention COMP-023767 LIC-1045590 59-0737872 SITE-00001286 6024 SPIKES WAY 32583-2827

Santa Rosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

MILTON LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-023693 LIC-1045591 59-0737872 SITE-00001286 6024 SPIKES WAY 32583-2827

Santa Rosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

MILTON LAKEVIEW CENTER, INC. Northwest C01 Treatment Alternatives for Safer Communities

COMP-024818 LIC-1045337 59-0737872 SITE-00001286 6024 SPIKES WAY 32583-2827

Santa Rosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

Miramar Advance Health Recovery, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-025007 LIC-1047289 83-1206538 SITE-00004933 8910 Miramar Parkway 33025 Broward (754) 281-2816 8/20/2020 Private 0 No Regular

Miramar Evoke Wellness, LLC Southeast C17 Inpatient Detoxification COMP-023368 LIC-1045931 82-4368971 SITE-00004632 3600 Red Road 33025 Broward (786) 343-1988 4/22/2020 Private 25 Yes RegularMiramar Evoke Wellness, LLC Southeast C17 Intensive Inpatient Treatment COMP-023369 LIC-1045930 82-4368971 SITE-00004632 3600 Red Road 33025 Broward (786) 343-1988 4/22/2020 Private 2 Yes RegularMiramar Evoke Wellness, LLC Southeast C17 Residential Level 1 COMP-023370 LIC-1045936 82-4368971 SITE-00004632 3600 Red Road 33025 Broward (786) 343-1988 4/22/2020 Private 13 Yes RegularMIRAMAR FIFTH STREET COUNSELING CENTER IV,

INCSoutheast C17 Outpatient Treatment COMP-024587 LIC-1046181 65-0755279 SITE-00004405 6151 MIRAMAR PKWY 33023-

3974Broward (954) 797-5222 7/12/2020 Private 0 Yes Regular

Monticello Apalachee Center, Inc. Northwest C02 Case Management COMP-024143 LIC-1046109 59-1162148 SITE-00001485 1996 S. Jefferson Street 32344 Jefferson (850) 523-3333 5/12/2020 Private 0 Yes RegularMonticello Gateway Foundation, Inc. Northwest C02 Intensive Outpatient Treatment COMP-024669 LIC-1046307 36-2670036 SITE-00004787 1050 Big Joe Road 32344 Jefferson (312) 663-1130 5/11/2020 Public 0 No RegularMonticello Gateway Foundation, Inc. Northwest C02 Outpatient Treatment COMP-024864 LIC-1046306 36-2670036 SITE-00004787 1050 Big Joe Road 32344 Jefferson (312) 663-1130 5/11/2020 Public 0 No RegularMonticello Holistic Plan of Care, Inc. Northwest C02 Outpatient Treatment COMP-025014 LIC-1047309 81-4730181 SITE-00004070 167 Floyd and Allen Road 32344 Jefferson (850) 559-4016 6/10/2020 Public 0 No Regular

Source: PLADS Page 51 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

MOORE HAVEN GEO Corrections and Detention, Inc Suncoast C20 Level 1 Prevention COMP-026335 LIC-1046820 46-1258100 SITE-00001714 1282 E STATE ROAD 78 33471-6227

Glades (863) 946-2420 1/13/2021 Private 0 No Regular

MOUNT DORA Be Free Lake, Inc. Central C05 Level 1 Prevention COMP-026239 LIC-1045314 11-3762675 SITE-00003967 1050 BOYD DR 32757-4551

Lake (352) 383-2009 1/15/2021 Private 0 No Regular

MOUNT DORA LifeStream Behavioral Center Central C09 Residential Level 2 COMP-025107 LIC-1046538 59-1561501 SITE-00000228 6215 HOLLY ST 32757-7416

Orange (352) 315-7500 9/19/2020 Public 24 Yes Regular

Mount Dora Recovery Solutions of Central Florida, Inc.

Central C05 Day or Night Treatment COMP-026287 LIC-1045432 47-3212817 SITE-00002274 4820 Hwy 19A, Suite A & B 32757 Lake (352) 800-4100 1/31/2021 Private 0 Yes Regular

Mount Dora Recovery Solutions of Central Florida, Inc.

Central C05 Intensive Outpatient Treatment COMP-026291 LIC-1045431 47-3212817 SITE-00002274 4820 Hwy 19A, Suite A & B 32757 Lake (352) 800-4100 1/31/2021 Private 0 Yes Regular

Mount Dora Recovery Solutions of Central Florida, Inc.

Central C05 Outpatient Treatment COMP-026292 LIC-1045437 47-3212817 SITE-00002274 4820 Hwy 19A, Suite A & B 32757 Lake (352) 800-4100 1/31/2021 Private 0 Yes Regular

N MIAMI BEACH Holistic Recovery Centers, LLC Southern C11 Day or Night Treatment COMP-024965 LIC-1046487 80-0865740 SITE-00001720 150 NW 168TH ST STE 200 33169-6034

Dade (877) 723-7117 10/7/2020 Private 0 Yes Regular

N MIAMI BEACH Holistic Recovery Centers, LLC Southern C11 Day or Night Treatment with Community Housing

COMP-024963 LIC-1046488 80-0865740 SITE-00001720 150 NW 168TH ST STE 200 33169-6034

Dade (877) 723-7117 10/7/2020 Private 0 Yes Regular

N MIAMI BEACH Holistic Recovery Centers, LLC Southern C11 Intensive Outpatient Treatment COMP-024962 LIC-1046486 80-0865740 SITE-00001720 150 NW 168TH ST STE 200 33169-6034

Dade (877) 723-7117 10/7/2020 Private 0 Yes Regular

N MIAMI BEACH Holistic Recovery Centers, LLC Southern C11 Outpatient Treatment COMP-024964 LIC-1046489 80-0865740 SITE-00001720 150 NW 168TH ST STE 200 33169-6034

Dade (877) 723-7117 10/7/2020 Private 0 Yes Regular

N MIAMI BEACH The Chrysalis Center, Inc. d/b/a Chrysalis Health

Southern C11 Outpatient Treatment COMP-025317 LIC-1046519 20-1966531 SITE-00003282 1868 NE 164TH ST 33162-4110

Dade (954) 587-1008 9/30/2020 Private 0 Yes Regular

N MIAMI BEACH Transitions Recovery Program Southern C11 Day or Night Treatment COMP-024577 LIC-1046185 65-0134943 SITE-00003474 1928 NE 154TH ST 33162-6022

Dade (305) 949-9001 5/20/2020 Private 0 Yes Regular

N MIAMI BEACH Transitions Recovery Program Southern C11 Day or Night Treatment with Community Housing

COMP-024566 LIC-1047195 65-0134943 SITE-00003474 1928 NE 154TH ST 33162-6022

Dade (305) 949-9001 5/20/2020 Private 0 Yes Regular

N MIAMI BEACH Transitions Recovery Program Southern C11 Intensive Outpatient Treatment COMP-024579 LIC-1046183 65-0134943 SITE-00003474 1928 NE 154TH ST 33162-6022

Dade (305) 949-9001 5/20/2020 Private 0 Yes Regular

N MIAMI BEACH Transitions Recovery Program Southern C11 Outpatient Treatment COMP-024580 LIC-1046184 65-0134943 SITE-00003474 1928 NE 154TH ST 33162-6022

Dade (305) 949-9001 5/20/2020 Private 0 Yes Regular

Naples Camelot Community Care, Inc. Suncoast C20 Outpatient Treatment COMP-024184 LIC-1047152 31-1659302 SITE-00004895 3351 East Tamiami Trail 34112 Collier (727) 593-0003 4/1/2020 Public 0 Yes RegularNaples David Lawrence Mental Health Center,

IncSuncoast C20 Aftercare COMP-024912 LIC-1046260 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Case Management COMP-024913 LIC-1046263 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Case Management COMP-024918 LIC-1046263 59-2206025 SITE-00001208 2806 South Horseshoe Drive 34104 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Day or Night Treatment COMP-024914 LIC-1046266 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Inpatient Detoxification COMP-024909 LIC-1046250 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 12 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Intensive Outpatient Treatment COMP-024908 LIC-1046262 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Level 1 Prevention COMP-024916 LIC-1046285 59-2206025 SITE-00001208 2806 South Horseshoe Drive 34104 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Level 2 Prevention COMP-024917 LIC-1046284 59-2206025 SITE-00001208 2806 South Horseshoe Drive 34104 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Outpatient Treatment COMP-024915 LIC-1046267 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Outpatient Treatment COMP-024919 LIC-1046267 59-2206025 SITE-00001208 2806 South Horseshoe Drive 34104 Collier (239) 455-8500 7/30/2020 Public 0 Yes Regular

Source: PLADS Page 52 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Residential Level 1 COMP-024911 LIC-1046259 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 18 Yes Regular

Naples David Lawrence Mental Health Center, Inc

Suncoast C20 Residential Level 4 COMP-024910 LIC-1046261 59-2206025 SITE-00000860 6075 Bathey Lane 34116 Collier (239) 455-8500 7/30/2020 Public 3 Yes Regular

Naples Halcyon Management Group, Inc. Suncoast C20 Aftercare COMP-025681 LIC-1046471 46-2922097 SITE-00004960 2500 Airport Road 34112 Collier (941) 255-5900 9/10/2020 Public 0 No RegularNaples Halcyon Management Group, Inc. Suncoast C20 Outpatient Treatment COMP-025676 LIC-1046472 46-2922097 SITE-00004960 2500 Airport Road 34112 Collier (941) 255-5900 9/10/2020 Public 0 No RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Aftercare COMP-023701 LIC-1045508 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 0 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Day or Night Treatment COMP-023700 LIC-1045507 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 0 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Intensive Outpatient Treatment COMP-023704 LIC-1045505 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 0 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Outpatient Detoxification COMP-023706 LIC-1045504 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 0 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Outpatient Treatment COMP-023705 LIC-1045502 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 0 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Residential Level 1 COMP-023703 LIC-1045506 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 27 Yes RegularNaples Hazelden Betty Ford Foundation Suncoast C20 Residential Level 4 COMP-023702 LIC-1045503 41-0682405 SITE-00002618 950 Sixth Avenue 34102 Collier (239) 659-2340 4/20/2020 Private 20 Yes RegularNaples Major Impact, Inc. Suncoast C20 Outpatient Treatment COMP-024686 LIC-1046075 30-0572405 SITE-00000600 5270 Golden Gate PKWY #103 34116 Collier (239) 226-4357 6/28/2020 Public 0 No RegularNaples Metro Treatment of Florida, LP Suncoast C20 Medication And Methadone

Maintenance TreatmentCOMP-024768 LIC-1045386 58-2341219 SITE-00001835 2770 Davis Boulevard 34112 Collier (407) 351-7080 8/3/2020 Private 0 Yes Regular

NAPLES Mindful Health Foundation, Inc Suncoast C20 Intensive Outpatient Treatment COMP-026014 LIC-1046825 14-1916189 SITE-00004115 865 91ST AVE N 34108-2426

Collier (239) 434-6596 12/8/2020 Private 0 No Regular

NAPLES Mindful Health Foundation, Inc Suncoast C20 Outpatient Treatment COMP-026015 LIC-1045162 14-1916189 SITE-00004115 865 91ST AVE N 34108-2426

Collier (239) 434-6596 12/8/2020 Private 0 No Regular

Naples Nextep Counseling II, LLC Suncoast C20 Intensive Outpatient Treatment COMP-024622 LIC-1047267 82-4243854 SITE-00005166 2500 Airport Road 34112 Collier (239) 362-0144 7/28/2020 Private 0 No RegularNaples Nextep Counseling II, LLC Suncoast C20 Outpatient Treatment COMP-024623 LIC-1047266 82-4243854 SITE-00005166 2500 Airport Road 34112 Collier (239) 362-0144 7/28/2020 Private 0 No RegularNAPLES Portner Counseling Group, LLC Suncoast C20 Intensive Outpatient Treatment COMP-023453 LIC-1045692 27-4698593 SITE-00003455 2345 STANFORD CT 34112-

4841Collier (239) 775-0039 4/2/2020 Private 0 No Regular

NAPLES Portner Counseling Group, LLC Suncoast C20 Outpatient Treatment COMP-023334 LIC-1045534 27-4698593 SITE-00003455 2345 STANFORD CT 34112-4841

Collier (239) 775-0039 4/2/2020 Private 0 No Regular

Naples Portner Counseling Group, LLC Suncoast C20 Outpatient Treatment COMP-023198 LIC-1045534 27-4698593 SITE-00004669 11725 Collier Blvd 34116 Collier (239) 775-0039 4/2/2020 Private 0 No RegularNaples White Sands Treatment Center Tampa,

LLCSuncoast C20 Intensive Outpatient Treatment COMP-027196 LIC-1045400 81-3488022 SITE-00004851 2800 Davis Blvd. 34112 Collier (813) 756-5660 5/28/2020 Private 0 Yes Probationary

Naples White Sands Treatment Center Tampa, LLC

Suncoast C20 Outpatient Treatment COMP-024995 LIC-1046607 81-3488022 SITE-00004851 2800 Davis Blvd. 34112 Collier (813) 756-5660 3/6/2020 Private 0 Yes Regular

Naples White Sands Treatment Center Tampa, LLC

Suncoast C20 Outpatient Treatment COMP-026627 LIC-1046607 81-3488022 SITE-00004851 2800 Davis Blvd. 34112 Collier (813) 756-5660 11/3/2020 Private 0 Yes Regular

NAPLES Willough Healthcare, Inc Suncoast C20 Day or Night Treatment with Community Housing

COMP-026488 LIC-1047072 59-2401831 SITE-00001333 11063 TAMIAMI TRL E 34113-7718

Collier (813) 559-9870 1/29/2021 Private 14 Yes Regular

NAVARRE Bowling Green Inn of Pensacola, LLC Northwest C01 Day or Night Treatment COMP-026490 LIC-1047182 58-1795523 SITE-00001264 2068 HEALTH CARE AVE 32566-2901

Santa Rosa (850) 939-1200 2/21/2021 Private 0 Yes Regular

NAVARRE Bowling Green Inn of Pensacola, LLC Northwest C01 Inpatient Detoxification COMP-026492 LIC-1047184 58-1795523 SITE-00001264 2068 HEALTH CARE AVE 32566-2901

Santa Rosa (850) 939-1200 2/21/2021 Private 22 Yes Regular

NAVARRE Bowling Green Inn of Pensacola, LLC Northwest C01 Intensive Outpatient Treatment COMP-026489 LIC-1047183 58-1795523 SITE-00001264 2068 HEALTH CARE AVE 32566-2901

Santa Rosa (850) 939-1200 2/21/2021 Private 0 Yes Regular

NAVARRE Bowling Green Inn of Pensacola, LLC Northwest C01 Residential Level 1 COMP-026491 LIC-1047181 58-1795523 SITE-00001264 2068 HEALTH CARE AVE 32566-2901

Santa Rosa (850) 939-1200 2/21/2021 Private 80 Yes Regular

New Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Addictions Receiving Facility COMP-024565 LIC-1045865 59-1371752 SITE-00001148 8002 King Helie Blvd 34653 Pasco (727) 841-4200 6/18/2020 Public 30 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Case Management COMP-024543 LIC-1045856 59-1371752 SITE-00001148 8002 King Helie Blvd 34653 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-024199 LIC-1047231 59-1371752 SITE-00001148 8002 King Helie Blvd 34653 Pasco (727) 841-4200 6/19/2020 Public 0 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Level 1 Prevention COMP-024517 LIC-1045855 59-1371752 SITE-00000034 7809 Massachusetts Ave 34653 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Outpatient Treatment COMP-024540 LIC-1045854 59-1371752 SITE-00000672 8132 King Helie Blvd 34653 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Outpatient Treatment COMP-024542 LIC-1045854 59-1371752 SITE-00001148 8002 King Helie Blvd 34653 Pasco (727) 841-4200 6/18/2020 Public 0 Yes RegularNew Port Richey BayCare Behavioral Health, Inc. Suncoast C06 Residential Level 2 COMP-024544 LIC-1045866 59-1371752 SITE-00001140 6040 Indiana Ave. 34653 Pasco (727) 841-4200 6/18/2020 Public 26 Yes Regular

Source: PLADS Page 53 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

New Port Richey Blessings Treatment and Recovery Center LLC

Suncoast C06 Day or Night Treatment COMP-024178 LIC-1046195 82-3478157 SITE-00004735 5319 Grand Blvd 34652 Pasco (727) 220-2422 6/4/2020 Private 0 No Regular

New Port Richey Blessings Treatment and Recovery Center LLC

Suncoast C06 Day or Night Treatment with Community Housing

COMP-024175 LIC-1046968 82-3478157 SITE-00004735 5319 Grand Blvd 34652 Pasco (727) 220-2422 6/4/2020 Private 0 No Regular

New Port Richey Blessings Treatment and Recovery Center LLC

Suncoast C06 Intensive Outpatient Treatment COMP-024177 LIC-1046196 82-3478157 SITE-00004735 5319 Grand Blvd 34652 Pasco (727) 220-2422 6/4/2020 Private 0 No Regular

New Port Richey Blessings Treatment and Recovery Center LLC

Suncoast C06 Outpatient Treatment COMP-024176 LIC-1046197 82-3478157 SITE-00004735 5319 Grand Blvd 34652 Pasco (727) 220-2422 6/4/2020 Private 0 No Regular

New Port Richey Insight Behavioral Health & Addictions Solutions, Inc

Suncoast C06 Inpatient Detoxification COMP-026724 LIC-1047394 47-5086365 SITE-00005323 9270 Royal Palm Avenue 34654 Pasco (888) 330-2532 5/5/2020 Private 24 No Probationary

New Port Richey Insight Behavioral Health & Addictions Solutions, Inc

Suncoast C06 Residential Level 1 COMP-026726 LIC-1047395 47-5086365 SITE-00005323 9270 Royal Palm Avenue 34654 Pasco (888) 330-2532 5/5/2020 Private 6 No Probationary

New Port Richey Operation PAR, Inc. Suncoast C06 Case Management COMP-025431 LIC-1046640 59-1349234 SITE-00003729 7720 Washington Street 34668 Pasco (727) 545-7564 12/1/2020 Public 0 Yes RegularNew Port Richey Operation PAR, Inc. Suncoast C06 General Intervention COMP-025429 LIC-1046651 59-1349234 SITE-00003729 7720 Washington Street 34668 Pasco (727) 545-7564 12/1/2020 Public 0 Yes RegularNew Port Richey Operation PAR, Inc. Suncoast C06 Medication and Methadone

Maintenance TreatmentCOMP-025437 LIC-1046664 59-1349234 SITE-00003729 7720 Washington Street 34668 Pasco (727) 545-7564 12/1/2020 Public 0 Yes Regular

New Port Richey Operation PAR, Inc. Suncoast C06 Outpatient Methadone Detoxification COMP-025435 LIC-1046665 59-1349234 SITE-00003729 7720 Washington Street 34668 Pasco (727) 545-7564 12/1/2020 Public 0 Yes Regular

New Port Richey Operation PAR, Inc. Suncoast C06 Outpatient Treatment COMP-025433 LIC-1046650 59-1349234 SITE-00003729 7720 Washington Street 34668 Pasco (727) 545-7564 12/1/2020 Public 0 Yes RegularNew Port Richey Pinellas Ex-Offender Re-Entry Coalition,

Inc.Suncoast C06 Aftercare COMP-023749 LIC-1047065 59-3643636 SITE-00004910 7621 Little Road 34654 Pasco (855) 505-7372 3/30/2020 Public 0 No Regular

New Port Richey Pinellas Ex-Offender Re-Entry Coalition, Inc.

Suncoast C06 Outpatient Treatment COMP-023751 LIC-1045379 59-3643636 SITE-00004910 7621 Little Road 34654 Pasco (855) 505-7372 3/30/2020 Public 0 Yes Regular

New Port Richey Sober Solutions Counseling, Inc. Suncoast C06 Outpatient Treatment COMP-024954 LIC-1046358 45-2932083 SITE-00000607 8056 Old County Rd. 54 34653 Pasco (727) 372-2010 8/15/2020 Public 0 No RegularNew Port Richey WestCare Gulfcoast-Florida, Inc. Suncoast C06 Aftercare COMP-024430 LIC-1045835 59-3714627 SITE-00004946 6448 Ridge Road 34668 Pasco (727) 490-6767 7/15/2020 Public 0 No RegularNew Port Richey WestCare Gulfcoast-Florida, Inc. Suncoast C06 Outpatient Treatment COMP-024429 LIC-1045836 59-3714627 SITE-00004946 6448 Ridge Road 34668 Pasco (727) 490-6767 7/15/2020 Public 0 Yes RegularNew Port Richey Youth and Family Alternatives, Inc. Suncoast C06 Level 1 Prevention COMP-024817 LIC-1046295 59-1545990 SITE-00001407 7524 Plathe Rd 34653 Pasco (727) 835-4166 9/14/2020 Public 0 Yes RegularNEW PRT RCHY PACE Center for Girls, Inc. Suncoast C06 Level 1 Prevention COMP-024224 LIC-1045495 59-2414492 SITE-00001011 7545 LITTLE RD 34654-

5522Pasco (904) 448-8002 6/6/2020 Public 0 No Regular

NEW PRT RCHY PACE Center for Girls, Inc. Suncoast C06 Level 2 Prevention COMP-024225 LIC-1045494 59-2414492 SITE-00001011 7545 LITTLE RD 34654-5522

Pasco (904) 448-8002 6/6/2020 Public 0 No Regular

New Smyrna Beach Reform Recovery, Inc. Northeast C07 Intensive Outpatient Treatment COMP-023365 LIC-1046733 82-0833284 SITE-00004853 502 Palmetto Street 32168 Volusia (386) 402-4717 3/25/2020 Private 0 No Regular

New Smyrna Beach Reform Recovery, Inc. Northeast C07 Outpatient Treatment COMP-023419 LIC-1045535 82-0833284 SITE-00004853 502 Palmetto Street 32168 Volusia (386) 402-4717 3/25/2020 Private 0 No Regular

New Smyrna Beach Serenity Springs, LLC Northeast C07 Intensive Outpatient Treatment COMP-023726 LIC-1045959 30-0695968 SITE-00002139 313 Julia Street 32168 Volusia (386) 423-4540 4/12/2020 Private 0 Yes Regular

New Smyrna Beach Serenity Springs, LLC Northeast C07 Outpatient Treatment COMP-023733 LIC-1047001 30-0695968 SITE-00002139 313 Julia Street 32168 Volusia (386) 423-4540 4/12/2020 Private 0 Yes Regular

North Fort Myers TLS Consulting, LLC Suncoast C20 Level 2 Prevention COMP-024302 LIC-1045953 54-2076259 SITE-00001282 13971 N. Cleveland Avenue, Ste. 9 33903 Lee (239) 344-5700 6/7/2020 Private 0 No RegularNorth Fort Myers TLS Consulting, LLC Suncoast C20 Outpatient Treatment COMP-024300 LIC-1045955 54-2076259 SITE-00001282 13971 N. Cleveland Avenue, Ste. 9 33903 Lee (239) 344-5700 6/7/2020 Private 0 No RegularNORTH MIAMI COMFORT RECOVERY, INC. Southern C11 Day or Night Treatment COMP-026381 LIC-1045359 81-0766829 SITE-00003940 1545 NE 123RD ST 33161-

6029Dade (212) 935-9400 1/28/2021 Private 0 Yes Regular

NORTH MIAMI COMFORT RECOVERY, INC. Southern C11 Intensive Outpatient Treatment COMP-026409 LIC-1045358 81-0766829 SITE-00003940 1545 NE 123RD ST 33161-6029

Dade (212) 935-9400 1/28/2021 Private 0 Yes Regular

NORTH MIAMI COMFORT RECOVERY, INC. Southern C11 Outpatient Treatment COMP-026379 LIC-1045360 81-0766829 SITE-00003940 1545 NE 123RD ST 33161-6029

Dade (212) 935-9400 1/28/2021 Private 0 Yes Regular

North Miami COMPASS HEALTH SYSTEMS, P.A. Southern C11 Outpatient Treatment COMP-024365 LIC-1046158 65-0199979 SITE-00003023 1065 N.E. 125th Street, Suite 409 33161 Dade (305) 891-0050 6/15/2020 Private 0 No RegularNorth Miami Douglas Gardens Community Mental

Health Center of Miami Beach, Inc.Southern C11 Outpatient Treatment COMP-024655 LIC-1046493 59-1923396 SITE-00001865 1150 NE 125 St Suite 501 33161 Dade (305) 403-0654 7/18/2020 Public 0 Yes Regular

Source: PLADS Page 54 of 95

Page 55: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

NORTH MIAMI Jewish Community Services of South Florida, Inc.

Southern C11 Level 1 Prevention COMP-025041 LIC-1046635 59-0637867 SITE-00003353 735 NE 125TH ST 33161-5611

Dade (305) 899-1587 10/24/2020 Public 0 Yes Regular

North Miami Millenium Clinic of Dade, Inc. Southern C11 Day or Night Treatment COMP-024570 LIC-1046394 47-2436888 SITE-00003803 500 NW 165 Street Road Suite 100 33169 Dade (786) 657-2272 7/9/2020 Private 0 Yes RegularNorth Miami Beach AMIkids Behavioral Health, Inc. Southern C11 Outpatient Treatment COMP-025116 LIC-1047069 59-2661387 SITE-00005170 2701 NE 151 Street 33160 Dade (813) 887-3300 7/28/2020 Public 0 No Regular

North Miami Beach Dynamic Waves of Change Southern C11 Intensive Outpatient Treatment COMP-023663 LIC-1045785 46-1918340 SITE-00003620 2020 NE 163rd Street Suite 204 33162 Dade (786) 395-5551 5/5/2020 Private 0 No Regular

North Miami Beach Dynamic Waves of Change Southern C11 Outpatient Treatment COMP-024346 LIC-1045786 46-1918340 SITE-00003620 2020 NE 163rd Street Suite 204 33162 Dade (786) 395-5551 5/5/2020 Private 0 No Regular

North Miami Beach South Beach Detox, LLC Southern C11 Inpatient Detoxification COMP-024938 LIC-1046688 38-3935611 SITE-00004774 85 NW 168th Street 33169 Dade (305) 726-1450 9/16/2020 Private 34 Yes Regular

North Miami Beach South Beach Detox, LLC Southern C11 Residential Level 1 COMP-024944 LIC-1046687 38-3935611 SITE-00004774 85 NW 168th Street 33169 Dade (305) 726-1450 9/16/2020 Private 34 Yes Regular

North Miami Beach South Florida Family Counseling D.B.A. Recovery-112

Southern C11 Intensive Outpatient Treatment COMP-024150 LIC-1045361 81-4130494 SITE-00003772 16499 NE 19th Ave #106 33162 Dade (305) 537-6237 5/13/2020 Private 0 Yes Regular

North Miami Beach South Florida Family Counseling D.B.A. Recovery-112

Southern C11 Outpatient Treatment COMP-024151 LIC-1045355 81-4130494 SITE-00003772 16499 NE 19th Ave #106 33162 Dade (305) 537-6237 5/13/2020 Private 0 Yes Regular

North Miami Beach TLC Recovery of South Florida LLC Southern C11 Inpatient Detoxification COMP-024815 LIC-1046428 46-2501537 SITE-00004800 16565 NE 4TH AVENUE 33162 Dade (954) 915-7444 7/25/2020 Private 33 Yes Regular

North Miami Beach TLC Recovery of South Florida LLC Southern C11 Residential Level 1 COMP-024816 LIC-1046429 46-2501537 SITE-00004800 16565 NE 4TH AVENUE 33162 Dade (954) 915-7444 7/25/2020 Private 33 Yes Regular

North Palm Beach Reprieve, LLC. Southeast C15 Intensive Outpatient Treatment COMP-026403 LIC-1045698 82-3082007 SITE-00004613 321 Northlake Blvd. 33408-5410

Palm Beach

(717) 736-2695 12/4/2020 Private 0 Yes Regular

North Palm Beach Reprieve, LLC. Southeast C15 Outpatient Treatment COMP-026404 LIC-1045699 82-3082007 SITE-00004613 321 Northlake Blvd. 33408-5410

Palm Beach

(717) 736-2695 12/4/2020 Private 0 Yes Regular

North Palm Beach Sober Life Recovery Center LLC Southeast C15 Intensive Outpatient Treatment COMP-026285 LIC-1045215 82-1177169 SITE-00005130 321 NORTHLAKE Boulevard 33408-5411

Palm Beach

(561) 779-6619 12/18/2020 Private 0 Yes Regular

North Palm Beach Sober Life Recovery Center LLC Southeast C15 Outpatient Treatment COMP-026286 LIC-1045214 82-1177169 SITE-00005130 321 NORTHLAKE Boulevard 33408-5411

Palm Beach

(561) 779-6619 12/18/2020 Private 0 Yes Regular

North Palm Beach Startliving.com PLLC Southeast C15 Day or Night Treatment COMP-024788 LIC-1046000 30-0796428 SITE-00004633 760 US Hwy 1 33408 Palm Beach

(561) 543-1028 8/8/2020 Private 0 Yes Regular

North Palm Beach Startliving.com PLLC Southeast C15 Intensive Outpatient Treatment COMP-024787 LIC-1046001 30-0796428 SITE-00004633 760 US Hwy 1 33408 Palm Beach

(561) 543-1028 8/8/2020 Private 0 Yes Regular

North Palm Beach Startliving.com PLLC Southeast C15 Outpatient Treatment COMP-024783 LIC-1045975 30-0796428 SITE-00004633 760 US Hwy 1 33408 Palm Beach

(561) 543-1028 8/8/2020 Private 0 Yes Regular

North Palm Beach The Process Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025762 LIC-1047327 84-2628140 SITE-00005256 521 Northlake Boulevard 33408 Palm Beach

(954) 591-6366 10/13/2020 Private 0 No Regular

North Palm Beach The Process Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-025765 LIC-1047328 84-2628140 SITE-00005256 521 Northlake Boulevard 33408 Palm Beach

(954) 591-6366 10/13/2020 Private 0 No Regular

North Port Coastal Behavioral Healthcare,Inc. Suncoast C12 Case Management COMP-024110 LIC-1046058 59-1432136 SITE-00000308 12497 South Tamiami Trail 34287 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularNorth Port Coastal Behavioral Healthcare,Inc. Suncoast C12 Level 1 Prevention COMP-024111 LIC-1046059 59-1432136 SITE-00000308 12497 South Tamiami Trail 34287 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularNorth Port Coastal Behavioral Healthcare,Inc. Suncoast C12 Outpatient Treatment COMP-024112 LIC-1046060 59-1432136 SITE-00000308 12497 South Tamiami Trail 34287 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularNORTH PORT Tri-County Counseling & Life Skills

Center, Inc.Suncoast C12 Outpatient Treatment COMP-022646 LIC-1045474 20-2102079 SITE-00002561 12543 TAMIAMI TRL S 34287-

1446Sarasota (941) 876-3060 3/29/2020 Private 0 No Regular

Oakland Park 3rd Step Recovery Group, Inc. Southeast C17 Case Management COMP-024989 LIC-1045951 27-1656201 SITE-00005132 4055 N Andrews Avenue 33309 Broward (954) 462-4599 6/19/2020 Private 0 Yes RegularOakland Park 3rd Step Recovery Group, Inc. Southeast C17 Intensive Outpatient Treatment COMP-024996 LIC-1045744 27-1656201 SITE-00005132 4055 N Andrews Avenue 33309 Broward (954) 462-4599 6/19/2020 Private 0 Yes RegularOakland Park 3rd Step Recovery Group, Inc. Southeast C17 Outpatient Treatment COMP-024034 LIC-1047232 27-1656201 SITE-00005132 4055 N Andrews Avenue 33309 Broward (954) 462-4599 6/19/2020 Private 0 No RegularOakland Park AGAPE AIM Centers LLC Southeast C17 Day or Night Treatment COMP-024890 LIC-1046107 81-2832600 SITE-00003458 4837 N Dixie Highway 33334 Broward (954) 900-1245 7/5/2020 Private 0 Yes RegularOakland Park AGAPE AIM Centers LLC Southeast C17 Intensive Outpatient Treatment COMP-024638 LIC-1046108 81-2832600 SITE-00003458 4837 N Dixie Highway 33334 Broward (954) 900-1245 7/5/2020 Private 0 Yes RegularOakland Park AGAPE AIM Centers LLC Southeast C17 Outpatient Treatment COMP-024485 LIC-1046106 81-2832600 SITE-00003458 4837 N Dixie Highway 33334 Broward (954) 900-1245 7/5/2020 Private 0 Yes Regular

Source: PLADS Page 55 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Oakland Park Banyan Community Health Center, Inc. Southeast C17 Aftercare COMP-024661 LIC-1046061 27-3164934 SITE-00001107 1061 West Oakland Blvd 33311 Broward (305) 398-6100 5/22/2020 Public 0 Yes Regular

Oakland Park Banyan Community Health Center, Inc. Southeast C17 Case Management COMP-024660 LIC-1046052 27-3164934 SITE-00001107 1061 West Oakland Blvd 33311 Broward (305) 398-6100 5/22/2020 Public 0 Yes Regular

Oakland Park Banyan Community Health Center, Inc. Southeast C17 Outpatient Treatment COMP-024657 LIC-1046035 27-3164934 SITE-00001107 1061 West Oakland Blvd 33311 Broward (305) 398-6100 5/22/2020 Public 0 Yes Regular

Oakland Park Care Resource Community Health Centers Incorporated

Southeast C17 Case Management COMP-024946 LIC-1046375 59-2564198 SITE-00003054 871 West Oakland Park Boulevard 33311 Broward (305) 576-1234 8/8/2020 Public 0 Yes Regular

Oakland Park Care Resource Community Health Centers Incorporated

Southeast C17 General Intervention COMP-025000 LIC-1046374 59-2564198 SITE-00003054 871 West Oakland Park Boulevard 33311 Broward (305) 576-1234 8/8/2020 Public 0 Yes Regular

Oakland Park Care Resource Community Health Centers Incorporated

Southeast C17 Outpatient Treatment COMP-024947 LIC-1046380 59-2564198 SITE-00003054 871 West Oakland Park Boulevard 33311 Broward (305) 576-1234 8/8/2020 Public 0 Yes Regular

OAKLAND PARK Helping Hands Recovery Center, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025659 LIC-1046802 47-2714227 SITE-00001454 4101 N ANDREWS AVE STE 209 33309-4775

Broward (954) 261-2580 10/23/2020 Private 0 Yes Regular

OAKLAND PARK Helping Hands Recovery Center, Inc. Southeast C17 Outpatient Treatment COMP-025660 LIC-1046801 47-2714227 SITE-00001454 4101 N ANDREWS AVE STE 209 33309-4775

Broward (954) 261-2580 10/23/2020 Private 0 Yes Regular

Oakland Park International Association of Trauma & Addiction Counselors, Inc

Southeast C17 Day or Night Treatment COMP-024887 LIC-1046675 65-0728592 SITE-00002815 8358 West Oakland Blvd. 33351 Broward (954) 742-3802 8/18/2020 Private 0 Yes Regular

Oakland Park International Association of Trauma & Addiction Counselors, Inc

Southeast C17 Intensive Outpatient Treatment COMP-024886 LIC-1046676 65-0728592 SITE-00002815 8358 West Oakland Blvd. 33351 Broward (954) 742-3802 8/18/2020 Private 0 Yes Regular

Oakland Park International Association of Trauma & Addiction Counselors, Inc

Southeast C17 Outpatient Treatment COMP-024888 LIC-1046668 65-0728592 SITE-00002815 8358 West Oakland Blvd. 33351 Broward (954) 742-3802 8/18/2020 Private 0 Yes Regular

Ocala Camelot Community Care, Inc. Central C05 Outpatient Treatment COMP-025249 LIC-1047152 31-1659302 SITE-00001154 3040 NW 10th Street 34475 Marion (727) 593-0003 4/1/2020 Public 0 Yes RegularOcala Comprehensive Addictions Treatment

Services, Inc.Central C05 Intensive Outpatient Treatment COMP-026011 LIC-1045467 59-3195514 SITE-00000599 730 SE Osceola Ave. 34471 Marion (352) 732-2287 1/10/2021 Private 0 Yes Regular

Ocala Comprehensive Addictions Treatment Services, Inc.

Central C05 Outpatient Treatment COMP-026110 LIC-1045466 59-3195514 SITE-00000599 730 SE Osceola Ave. 34471 Marion (352) 732-2287 1/10/2021 Private 0 Yes Regular

Ocala Department of Corrections, Bureau of Substance Abuse Program Services

Central C05 Residential Level 2 COMP-025087 LIC-1046557 59-2869774 SITE-00002190 11120 NW Gainesville Road 34482 Marion (850) 717-3060 10/13/2020 Public 30 No Regular

Ocala Gateway Foundation, Inc. Central C05 Intensive Outpatient Treatment COMP-024641 LIC-1046307 36-2670036 SITE-00004769 11120 NW Gainesville Rd 34482-1479

Marion (312) 663-1130 5/11/2020 Public 0 No Regular

Ocala Gateway Foundation, Inc. Central C05 Intensive Outpatient Treatment COMP-024653 LIC-1046307 36-2670036 SITE-00004770 3269 NW 105th Street 34475 Marion (312) 663-1130 5/11/2020 Public 0 No RegularOcala Gateway Foundation, Inc. Central C05 Level 1 Prevention COMP-025625 LIC-1046478 36-2670036 SITE-00004769 11120 NW Gainesville Rd 34482-

1479Marion (312) 663-1130 5/11/2020 Public 0 No Regular

Ocala Gateway Foundation, Inc. Central C05 Level 1 Prevention COMP-025626 LIC-1046478 36-2670036 SITE-00004770 3269 NW 105th Street 34475 Marion (312) 663-1130 5/11/2020 Public 0 No RegularOcala Gateway Foundation, Inc. Central C05 Outpatient Treatment COMP-024652 LIC-1046306 36-2670036 SITE-00004769 11120 NW Gainesville Rd 34482-

1479Marion (312) 663-1130 5/11/2020 Public 0 No Regular

Ocala Gateway Foundation, Inc. Central C05 Outpatient Treatment COMP-024654 LIC-1046306 36-2670036 SITE-00004770 3269 NW 105th Street 34475 Marion (312) 663-1130 5/11/2020 Public 0 No RegularOcala Guest House Ocala Outpatient

Recovery, LLCCentral C05 Day or Night Treatment COMP-026772 LIC-1047388 84-4064962 SITE-00005343 2233 E. Fort King Street 34471 Marion (855) 483-7800

x11312/19/2020 Private 0 Yes Regular

Ocala Guest House Ocala Outpatient Recovery, LLC

Central C05 Intensive Outpatient Treatment COMP-026773 LIC-1047387 84-4064962 SITE-00005343 2233 E. Fort King Street 34471 Marion (855) 483-7800 x113

12/19/2020 Private 0 Yes Regular

Ocala Guest House Ocala Outpatient Recovery, LLC

Central C05 Outpatient Treatment COMP-026774 LIC-1047389 84-4064962 SITE-00005343 2233 E. Fort King Street 34471 Marion (855) 483-7800 x113

12/19/2020 Private 0 Yes Regular

OCALA LifeStream Behavioral Center Central C05 Treatment Alternatives for Safer Communities

COMP-025106 LIC-1046531 59-1561501 SITE-00002420 225 NE 14TH ST 34470-4114

Marion (352) 315-7500 9/19/2020 Public 0 Yes Regular

Ocala Marion County Children's Alliance Central C05 Level 1 Prevention COMP-023196 LIC-1045795 06-1712493 SITE-00003337 3482 NW 10th Street 34475 Marion (352) 438-5990 3/22/2020 Public 0 No Regular

Source: PLADS Page 56 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

OCALA Metro Treatment of Florida, LP Central C05 Medication And Methadone Maintenance Treatment

COMP-024774 LIC-1045386 58-2341219 SITE-00004028 216 NE 1ST AVE 34470-6654

Marion (407) 351-7080 8/3/2020 Private 0 Yes Regular

Ocala Ocala Consulting & Prevention, LLC Central C05 Intensive Outpatient Treatment COMP-024022 LIC-1046037 46-3447431 SITE-00003342 2100 SE 17th Street 34471 Marion (352) 622-4488 5/15/2020 Private 0 Yes RegularOcala Ocala Consulting & Prevention, LLC Central C05 Outpatient Treatment COMP-024023 LIC-1046038 46-3447431 SITE-00003342 2100 SE 17th Street 34471 Marion (352) 622-4488 5/15/2020 Private 0 Yes RegularOcala Options of Marion County, LLC Central C05 Aftercare COMP-024859 LIC-1046405 59-3719811 SITE-00005269 2016 NE 8th Road 34470 Marion (352) 690-6030 7/25/2020 Private 0 No RegularOcala Options of Marion County, LLC Central C05 General Intervention COMP-024858 LIC-1046406 59-3719811 SITE-00005269 2016 NE 8th Road 34470 Marion (352) 690-6030 7/25/2020 Private 0 No RegularOcala Options of Marion County, LLC Central C05 Outpatient Treatment COMP-024857 LIC-1046368 59-3719811 SITE-00005269 2016 NE 8th Road 34470 Marion (352) 690-6030 7/25/2020 Private 0 No RegularOCALA PACE Center for Girls, Inc. Central C05 Level 1 Prevention COMP-024233 LIC-1045495 59-2414492 SITE-00002638 328 NE 1ST AVE 34470-

6617Marion (904) 448-8002 6/6/2020 Public 0 No Regular

OCALA PACE Center for Girls, Inc. Central C05 Level 2 Prevention COMP-024234 LIC-1045494 59-2414492 SITE-00002638 328 NE 1ST AVE 34470-6617

Marion (904) 448-8002 6/6/2020 Public 0 No Regular

Ocala Perspectives II Central C05 Intensive Outpatient Treatment COMP-024893 LIC-1045956 27-0547707 SITE-00001263 818 E. Silver Springs Blvd. 34470 Marion (352) 347-6272 6/28/2020 Private 0 Yes RegularOcala Perspectives II Central C05 Outpatient Treatment COMP-024894 LIC-1045957 27-0547707 SITE-00001263 818 E. Silver Springs Blvd. 34470 Marion (352) 347-6272 6/28/2020 Private 0 Yes RegularOCALA Sequel TSI of Florida LLC Central C05 Outpatient Treatment COMP-025628 LIC-1045297 27-1360815 SITE-00002323 10420 NW GAINESVILLE RD 34482-

1446Marion (256) 880-3339 10/25/2020 Public 0 No Regular

Ocala The Centers, Inc. Central C05 Case Management COMP-025017 LIC-1046341 51-0177273 SITE-00002060 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 0 Yes RegularOcala The Centers, Inc. Central C05 General Intervention COMP-025146 LIC-1047261 51-0177273 SITE-00002060 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 0 Yes RegularOcala The Centers, Inc. Central C05 Inpatient Detoxification COMP-024984 LIC-1046335 51-0177273 SITE-00002071 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 23 Yes RegularOcala The Centers, Inc. Central C05 Level 1 Prevention COMP-025037 LIC-1046332 51-0177273 SITE-00002060 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 0 Yes RegularOcala The Centers, Inc. Central C05 Outpatient Treatment COMP-024484 LIC-1046254 51-0177273 SITE-00002060 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 0 Yes RegularOcala The Centers, Inc. Central C05 Residential Level 2 COMP-025015 LIC-1046331 51-0177273 SITE-00002067 5664 SW 60th Avenue 34478 Marion (352) 291-5456 7/9/2020 Public 50 Yes RegularOcala The Chrysalis Center, Inc. d/b/a

Chrysalis HealthCentral C05 Outpatient Treatment COMP-025320 LIC-1046519 20-1966531 SITE-00003680 1515 E. Silver Springs Blvd. 34470 Marion (954) 587-1008 9/30/2020 Public 0 Yes Regular

Ocala Volunteers of America of Florida, Inc. Central C05 Aftercare COMP-025248 LIC-1046583 58-1856992 SITE-00002674 111 NE 12th Ave., Unit 100 34471 Marion (904) 405-1053 9/9/2020 Public 0 Yes Regular

Ocala Western Judicial Services, Inc. Central C05 Aftercare COMP-025564 LIC-1045924 59-3443592 SITE-00002161 1111 NE 25th Ave. 34474 Marion (321) 868-4066 10/13/2020 Public 0 No Regular

Ocala Western Judicial Services, Inc. Central C05 Outpatient Treatment COMP-025565 LIC-1045925 59-3443592 SITE-00002161 1111 NE 25th Ave. 34474 Marion (321) 868-4066 10/13/2020 Public 0 No Regular

Ocala White Sands Treatment Center Tampa, LLC

Central C05 Outpatient Treatment COMP-027105 LIC-1046607 81-3488022 SITE-00004903 1515 Silver Springs Blvd. 34470 Marion (813) 756-5660 5/18/2020 Private 0 Yes Probationary

Ocala Youth Opportunity Investments LLC Central C05 Outpatient Treatment COMP-023918 LIC-1045556 27-0972875 SITE-00004981 4055 Northwest 105th Street, Ocala, Florida 34482

33702 Marion (727) 800-3511 x41102

4/1/2020 Public 0 No Regular

Ocoee LifeStream Behavioral Center Central C09 Outpatient Treatment COMP-025108 LIC-1046334 59-1561501 SITE-00004754 1554 Boren Drive 34761 Orange (352) 315-7500 9/19/2020 Public 0 Yes RegularOcoee Personal Recovery Network Central C09 Outpatient Treatment COMP-026111 LIC-1047334 58-2010734 SITE-00005281 10125 West Colonial Drive 34761 Orange (407) 753-7441 11/6/2020 Private 0 No RegularOkeechobee Detox of South Florida, Inc. Southeast C19 Inpatient Detoxification COMP-024600 LIC-1046337 46-5745481 SITE-00000352 608 NE 2nd Avenue 34972 Okeechob

ee(863) 623-4923 4/28/2020 Private 22 Yes Regular

Okeechobee Detox of South Florida, Inc. Southeast C19 Residential Level 1 COMP-024603 LIC-1046336 46-5745481 SITE-00000352 608 NE 2nd Avenue 34972 Okeechobee

(863) 623-4923 4/28/2020 Private 10 Yes Regular

Okeechobee GEO Reentry Services, LLC. Southeast C19 Intensive Outpatient Treatment COMP-024126 LIC-1045773 46-1260559 SITE-00004616 3420 NE 168th Street 34972 Okeechobee

(561) 285-6346 4/4/2020 Public 0 No Regular

Okeechobee GEO Reentry Services, LLC. Southeast C19 Intensive Outpatient Treatment COMP-026924 LIC-1045773 46-1260559 SITE-00004616 3420 NE 168th Street 34972 Okeechobee

(561) 285-6346 10/21/2020 Public 0 No Regular

Okeechobee GEO Reentry Services, LLC. Southeast C19 Level 1 Prevention COMP-025827 LIC-1045772 46-1260559 SITE-00004616 3420 NE 168th Street 34972 Okeechobee

(561) 285-6346 10/21/2020 Private 0 No Regular

Okeechobee GEO Reentry Services, LLC. Southeast C19 Outpatient Treatment COMP-024128 LIC-1046417 46-1260559 SITE-00004616 3420 NE 168th Street 34972 Okeechobee

(561) 285-6346 4/4/2020 Public 0 No Regular

Okeechobee GEO Reentry Services, LLC. Southeast C19 Outpatient Treatment COMP-026923 LIC-1046417 46-1260559 SITE-00004616 3420 NE 168th Street 34972 Okeechobee

(561) 285-6346 10/21/2020 Public 0 No Regular

Okeechobee New Horizons of the Treasure Coast, Inc.

Southeast C19 Outpatient Treatment COMP-023399 LIC-1045619 59-6153749 SITE-00001018 1600 Southwest 2nd Avenue 34972 Okeechobee

(772) 468-5600 4/23/2020 Public 0 Yes Regular

Source: PLADS Page 57 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Okeechobee Office of the Public Defender 19th Judicial Circuit

Southeast C19 General Intervention COMP-024590 LIC-1046512 65-1148284 SITE-00002573 504 NW 4th Street Okeechobee County Jail 34972 Okeechobee

(772) 462-2048 7/18/2020 Public 0 No Regular

OKEECHOBEE Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-025610 LIC-1045210 20-4128112 SITE-00004379 202 NW 5TH ST 34972-2563

Okeechobee

(772) 286-8933 10/20/2020 Private 0 No Regular

OKEECHOBEE Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-025792 LIC-1046746 20-4128112 SITE-00004379 202 NW 5TH ST 34972-2563

Okeechobee

(772) 286-8933 10/20/2020 Public 0 No Regular

Okeechobee TrueCore Behavioral Solutions, LLC Southeast C19 Level 1 Prevention COMP-023347 LIC-1045567 54-1859903 SITE-00002648 1117 NE 39th Street 34972 Okeechobee

(813) 514-6275 4/7/2020 Public 0 No Regular

Okeechobee TrueCore Behavioral Solutions, LLC Southeast C19 Outpatient Treatment COMP-023306 LIC-1045557 54-1859903 SITE-00000881 5050 Northeast 168th Street 34972 Okeechobee

(813) 514-6275 4/7/2020 Public 0 No Regular

Okeechobee TrueCore Behavioral Solutions, LLC Southeast C19 Outpatient Treatment COMP-023339 LIC-1045557 54-1859903 SITE-00001335 7200 Highway 441 North 34972 Okeechobee

(813) 514-6275 4/7/2020 Public 0 No Regular

Okeechobee TrueCore Behavioral Solutions, LLC Southeast C19 Outpatient Treatment COMP-023346 LIC-1045557 54-1859903 SITE-00002648 1117 NE 39th Street 34972 Okeechobee

(813) 514-6275 4/7/2020 Public 0 No Regular

Oklawaha The Refuge, A Healing Place, LLC Central C05 Day or Night Treatment COMP-024018 LIC-1046025 71-0943490 SITE-00002200 14835 Southeast 85th Street 32179 Marion (352) 288-3333 6/22/2020 Private 0 Yes RegularOklawaha The Refuge, A Healing Place, LLC Central C05 Inpatient Detoxification COMP-024015 LIC-1046024 71-0943490 SITE-00002200 14835 Southeast 85th Street 32179 Marion (352) 288-3333 6/22/2020 Private 12 Yes RegularOklawaha The Refuge, A Healing Place, LLC Central C05 Intensive Outpatient Treatment COMP-024055 LIC-1046026 71-0943490 SITE-00002200 14835 Southeast 85th Street 32179 Marion (352) 288-3333 6/22/2020 Private 0 Yes RegularOklawaha The Refuge, A Healing Place, LLC Central C05 Residential Level 1 COMP-024056 LIC-1046133 71-0943490 SITE-00002200 14835 Southeast 85th Street 32179 Marion (352) 288-3333 6/22/2020 Private 75 Yes RegularOpa Locka Here's Help, Inc. Southern C11 Case Management COMP-024747 LIC-1046225 59-1298067 SITE-00003147 15100 Northwest 27th Avenue 33054 Dade (305) 238-8500 8/9/2020 Public 0 Yes RegularOpa Locka Here's Help, Inc. Southern C11 Day or Night Treatment COMP-024749 LIC-1046213 59-1298067 SITE-00003147 15100 Northwest 27th Avenue 33054 Dade (305) 238-8500 8/9/2020 Public 0 Yes RegularOpa Locka Here's Help, Inc. Southern C11 Outpatient Treatment COMP-024748 LIC-1046194 59-1298067 SITE-00003147 15100 Northwest 27th Avenue 33054 Dade (305) 238-8500 8/9/2020 Public 0 Yes RegularOpa Locka Here's Help, Inc. Southern C11 Residential Level 2 COMP-024751 LIC-1046198 59-1298067 SITE-00003147 15100 Northwest 27th Avenue 33054 Dade (305) 238-8500 8/9/2020 Public 28 Yes RegularOpa Locka Here's Help, Inc. Southern C11 Residential Level 4 COMP-024750 LIC-1046207 59-1298067 SITE-00003147 15100 Northwest 27th Avenue 33054 Dade (305) 238-8500 8/9/2020 Public 6 Yes RegularOpa Locka Jackson Health System Southern C11 Addictions Receiving Facility COMP-025796 LIC-1046015 59-1713947 SITE-00003184 15055 Northwest 27th Avenue 33054 Dade (305) 355-8234 12/26/2020 Public 2 Yes Regular

Opa Locka Jackson Health System Southern C11 Inpatient Detoxification COMP-025797 LIC-1045142 59-1713947 SITE-00003184 15055 Northwest 27th Avenue 33054 Dade (305) 355-8234 12/26/2020 Public 2 Yes Regular

Opa Locka Jackson Health System Southern C11 Level 1 Prevention COMP-025799 LIC-1045964 59-1713947 SITE-00003184 15055 Northwest 27th Avenue 33054 Dade (305) 355-8234 12/26/2020 Public 0 Yes Regular

Opa Locka Jackson Health System Southern C11 Outpatient Treatment COMP-025798 LIC-1045965 59-1713947 SITE-00003184 15055 Northwest 27th Avenue 33054 Dade (305) 355-8234 12/26/2020 Public 0 Yes Regular

ORANGE CITY Oasis Treatment Center Northeast C07 Aftercare COMP-025852 LIC-1046896 20-5429175 SITE-00002889 951 N VOLUSIA AVE 32763-4878

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

ORANGE CITY Oasis Treatment Center Northeast C07 Outpatient Treatment COMP-025851 LIC-1046715 20-5429175 SITE-00002889 951 N VOLUSIA AVE 32763-4878

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

Orange Park Clay Behavioral Health Center Northeast C04 Aftercare COMP-026276 LIC-1045390 59-2219317 SITE-00004814 2141 Loch Rane Boulevard, Ste. 120-121 32073 Clay (904) 291-5561 2/4/2021 Public 0 Yes RegularOrange Park Clay Behavioral Health Center Northeast C04 Case Management COMP-026277 LIC-1045389 59-2219317 SITE-00004814 2141 Loch Rane Boulevard, Ste. 120-121 32073 Clay (904) 291-5561 2/4/2021 Public 0 Yes RegularOrange Park Clay Behavioral Health Center Northeast C04 Outpatient Treatment COMP-026430 LIC-1045388 59-2219317 SITE-00004814 2141 Loch Rane Boulevard, Ste. 120-121 32073 Clay (904) 291-5561 2/4/2021 Public 0 Yes RegularOrange Park Florida Counseling and Evaluation

ServicesNortheast C04 Outpatient Treatment COMP-026501 LIC-1045090 27-2328037 SITE-00000358 1540 Kingsley Ave 32073 Clay (904) 239-3677 3/18/2020 Private 0 No Probationary

ORANGE PARK PACE Center for Girls, Inc. Northeast C04 Level 1 Prevention COMP-024256 LIC-1045495 59-2414492 SITE-00004443 1241 BLANDING BLVD 32065-5908

Clay (904) 448-8002 6/6/2020 Public 0 No Regular

ORANGE PARK PACE Center for Girls, Inc. Northeast C04 Level 2 Prevention COMP-024257 LIC-1045494 59-2414492 SITE-00004443 1241 BLANDING BLVD 32065-5908

Clay (904) 448-8002 6/6/2020 Public 0 No Regular

ORANGE PARK River Region Human Services, Inc. Northeast C04 Satellite Maintenance COMP-025636 LIC-1046916 59-1952727 SITE-00000379 2141 LOCH RANE BLVD 32073-4239

Clay (904) 899-6300 11/25/2020 Public 0 Yes Regular

Orange Park SEDNET Region 4 Northeast C04 Case Management COMP-027122 LIC-1045732 59-6000552 SITE-00002395 2306 Kingsley Ave 32073 Clay (904) 336-4400 5/28/2020 Public 0 No ProbationaryOrlando ABC Counseling Services, LLC Central C09 Outpatient Treatment COMP-025118 LIC-1046265 47-2694018 SITE-00001741 37 N. Orange Avenue, Suite #500 32801 Orange (407) 488-1809 8/7/2020 Private 0 No RegularOrlando ABC Counseling Services, LLC Central C09 Outpatient Treatment COMP-025119 LIC-1046265 47-2694018 SITE-00004707 4300 Semoran Blvd. 32822 Orange (407) 488-1809 8/7/2020 Private 0 No RegularOrlando Addictions Counseling Services, Inc. Central C09 Outpatient Treatment COMP-025707 LIC-1045105 01-0706591 SITE-00002472 2820-A North Alafaya Trail 32826 Orange (407) 332-4666 10/24/2020 Private 0 No Regular

Source: PLADS Page 58 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Orlando Aspire Health Partners, Inc. Central C09 Addictions Receiving Facility COMP-023738 LIC-1045899 59-2301233 SITE-00000777 434 W. Kennedy Blvd. bldg. A 32810 Orange (407) 875-3700 5/23/2020 Public 50 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Addictions Receiving Facility COMP-025422 LIC-1045899 59-2301233 SITE-00000777 434 W. Kennedy Blvd. bldg. A 32810 Orange (407) 875-3700 5/23/2020 Public 40 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Addictions Receiving Facility COMP-024066 LIC-1045899 59-2301233 SITE-00000847 712 West Gore Street 32804 Orange (407) 875-3700 5/23/2020 Public 40 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Case Management COMP-023721 LIC-1045900 59-2301233 SITE-00000424 911 N. Mills Avenue 32803 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Case Management COMP-023743 LIC-1045900 59-2301233 SITE-00000872 8301 East Colonial Drive 32817 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularORLANDO Aspire Health Partners, Inc. Central C09 Case Management COMP-023760 LIC-1045900 59-2301233 SITE-00002375 3200 W COLONIAL DR 32808-

8023Orange (407) 875-3700 5/23/2020 Public 0 Yes Regular

Orlando Aspire Health Partners, Inc. Central C09 Day or Night Treatment COMP-023742 LIC-1045872 59-2301233 SITE-00000872 8301 East Colonial Drive 32817 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Day or Night Treatment COMP-023755 LIC-1045872 59-2301233 SITE-00000879 1405 Michigan Street 32805 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 General Intervention COMP-023724 LIC-1045873 59-2301233 SITE-00000437 5151 Adanson Street, Suite 200 32804 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 General Intervention COMP-023734 LIC-1045873 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 General Intervention COMP-023744 LIC-1045873 59-2301233 SITE-00000872 8301 East Colonial Drive 32817 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 General Intervention COMP-023757 LIC-1045873 59-2301233 SITE-00000879 1405 Michigan Street 32805 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 General Intervention COMP-023718 LIC-1045873 59-2301233 SITE-00002584 1800 Mercy Drive 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Inpatient Detoxification COMP-025424 LIC-1045871 59-2301233 SITE-00000777 434 W. Kennedy Blvd. bldg. A 32810 Orange (407) 875-3700 5/23/2020 Public 40 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Inpatient Detoxification COMP-024067 LIC-1045871 59-2301233 SITE-00000847 712 West Gore Street 32804 Orange (407) 875-3700 5/23/2020 Public 40 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Intensive Outpatient Treatment COMP-023731 LIC-1045798 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Intensive Outpatient Treatment COMP-023756 LIC-1045798 59-2301233 SITE-00000879 1405 Michigan Street 32805 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularORLANDO Aspire Health Partners, Inc. Central C09 Intensive Outpatient Treatment COMP-023759 LIC-1045798 59-2301233 SITE-00002375 3200 W COLONIAL DR 32808-

8023Orange (407) 875-3700 5/23/2020 Public 0 Yes Regular

Orlando Aspire Health Partners, Inc. Central C09 Intensive Outpatient Treatment COMP-023717 LIC-1045798 59-2301233 SITE-00002584 1800 Mercy Drive 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-023739 LIC-1045910 59-2301233 SITE-00000777 434 W. Kennedy Blvd. bldg. A 32810 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-023736 LIC-1045910 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-023762 LIC-1045910 59-2301233 SITE-00002518 5051 North Lane 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Level 1 Prevention COMP-023716 LIC-1045910 59-2301233 SITE-00002584 1800 Mercy Drive 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Level 2 Prevention COMP-023737 LIC-1045857 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Medication And Methadone

Maintenance TreatmentCOMP-023735 LIC-1045916 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes Regular

Orlando Aspire Health Partners, Inc. Central C09 Outpatient Detoxification COMP-023729 LIC-1045917 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Outpatient Methadone Detoxification COMP-023730 LIC-1045918 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes Regular

Orlando Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023720 LIC-1045858 59-2301233 SITE-00000424 911 N. Mills Avenue 32803 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023732 LIC-1045858 59-2301233 SITE-00000851 100 West Columbia St 32806 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023740 LIC-1045858 59-2301233 SITE-00000858 5029 North Lane 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023753 LIC-1045858 59-2301233 SITE-00000879 1405 Michigan Street 32805 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Outpatient Treatment COMP-023715 LIC-1045858 59-2301233 SITE-00002584 1800 Mercy Drive 32808 Orange (407) 875-3700 5/23/2020 Public 0 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Residential Level 2 COMP-023719 LIC-1045870 59-2301233 SITE-00000366 823 West Central Blv 32805 Orange (407) 875-3700 5/23/2020 Public 10 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Residential Level 2 COMP-023741 LIC-1045870 59-2301233 SITE-00000872 8301 East Colonial Drive 32817 Orange (407) 875-3700 5/23/2020 Public 35 Yes RegularOrlando Aspire Health Partners, Inc. Central C09 Residential Level 2 COMP-023754 LIC-1045870 59-2301233 SITE-00000879 1405 Michigan Street 32805 Orange (407) 875-3700 5/23/2020 Public 60 Yes RegularOrlando Bridges International Centers for

Recovery and Re-entry, Inc.Central C09 Aftercare COMP-026290 LIC-1047033 82-2321125 SITE-00004948 6388 Silver Star Road 32835-

7642Orange (407) 218-4800 12/12/2020 Public 0 No Regular

Orlando Bridges International Centers for Recovery and Re-entry, Inc.

Central C09 Outpatient Treatment COMP-026289 LIC-1047034 82-2321125 SITE-00004948 6388 Silver Star Road 32835-7642

Orange (407) 218-4800 12/12/2020 Public 0 No Regular

Orlando Bridges of Florida, Inc. Central C09 Aftercare COMP-025913 LIC-1046005 46-4672119 SITE-00004601 2011 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Orlando Bridges of Florida, Inc. Central C09 Aftercare COMP-025916 LIC-1046005 46-4672119 SITE-00004602 2041 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Orlando Bridges of Florida, Inc. Central C09 General Intervention COMP-025914 LIC-1046010 46-4672119 SITE-00004601 2011 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Orlando Bridges of Florida, Inc. Central C09 General Intervention COMP-025917 LIC-1046010 46-4672119 SITE-00004602 2041 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Source: PLADS Page 59 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Orlando Bridges of Florida, Inc. Central C09 Outpatient Treatment COMP-025915 LIC-1046006 46-4672119 SITE-00004601 2011 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Orlando Bridges of Florida, Inc. Central C09 Outpatient Treatment COMP-025918 LIC-1046006 46-4672119 SITE-00004602 2041 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 0 Yes Regular

Orlando Bridges of Florida, Inc. Central C09 Residential Level 2 COMP-025919 LIC-1047063 46-4672119 SITE-00004600 2025 MERCY DR 32808-5613

Orange (407) 218-4800 12/19/2020 Public 100 Yes Regular

Orlando Camelot Community Care, Inc. Central C09 Outpatient Treatment COMP-024186 LIC-1047152 31-1659302 SITE-00004891 2800 South Bumby Avenue 32806 Orange (727) 593-0003 4/1/2020 Public 0 Yes RegularORLANDO Central Florida Detox, LLC Central C09 Day or Night Treatment COMP-025445 LIC-1046712 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-

4615Orange (754) 300-3120 10/27/2020 Private 0 Yes Regular

ORLANDO Central Florida Detox, LLC Central C09 Inpatient Detoxification COMP-025443 LIC-1046711 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-4615

Orange (754) 300-3120 10/27/2020 Private 23 Yes Regular

ORLANDO Central Florida Detox, LLC Central C09 Intensive Inpatient Treatment COMP-025446 LIC-1046710 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-4615

Orange (754) 300-3120 10/27/2020 Private 4 Yes Regular

ORLANDO Central Florida Detox, LLC Central C09 Intensive Outpatient Treatment COMP-025447 LIC-1046713 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-4615

Orange (754) 300-3120 10/27/2020 Private 0 Yes Regular

ORLANDO Central Florida Detox, LLC Central C09 Outpatient Treatment COMP-025450 LIC-1046414 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-4615

Orange (754) 300-3120 10/27/2020 Private 0 Yes Regular

ORLANDO Central Florida Detox, LLC Central C09 Residential Level 1 COMP-025449 LIC-1045123 47-1739920 SITE-00001479 6000 LAKE ELLENOR DR STE 201 32809-4615

Orange (754) 300-3120 10/27/2020 Private 23 Yes Regular

ORLANDO Central Florida Recovery Centers, Inc. Central C09 Intensive Outpatient Treatment COMP-025581 LIC-1046770 04-3664565 SITE-00004130 6900 TURKEY LAKE RD STE 1-2 32819-4707

Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

ORLANDO Central Florida Recovery Centers, Inc. Central C09 Outpatient Detoxification COMP-025582 LIC-1046771 04-3664565 SITE-00004130 6900 TURKEY LAKE RD STE 1-2 32819-4707

Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

ORLANDO Central Florida Recovery Centers, Inc. Central C09 Outpatient Treatment COMP-025579 LIC-1046773 04-3664565 SITE-00004130 6900 TURKEY LAKE RD STE 1-2 32819-4707

Orange (407) 370-9783 10/17/2020 Private 0 Yes Regular

Orlando CFSATC Inc. Central C09 Medication And Methadone Maintenance Treatment

COMP-023110 LIC-1045829 59-2311257 SITE-00002588 1800 West Colonial Drive 32804 Orange (407) 843-0041 4/8/2020 Private 0 Yes Regular

Orlando Change in Motion Central C09 Outpatient Treatment COMP-025530 LIC-1046949 47-5172421 SITE-00004637 1850 LEE RD 32789-2107

Orange (407) 637-2633 10/17/2020 Private 0 No Regular

Orlando Everyone's Counseling Center Central C09 Outpatient Treatment COMP-024314 LIC-1045657 47-3567022 SITE-00004612 1600 East Robinson St. 32803 Orange (407) 423-3327 4/23/2020 Private 0 No RegularOrlando Families In Recovery of Central Florida Central C09 Outpatient Treatment COMP-024156 LIC-1045717 20-3134721 SITE-00002880 4467 Edgewater Drive, Suite C 32804 Orange (407) 260-1165 3/27/2020 Private 0 No Regular

Orlando Gulf Coast Jewish Family and Community Services, Inc

Central C09 Outpatient Treatment COMP-024843 LIC-1047245 59-1229354 SITE-00005127 5749 Westgate Drive 32835 Orange (727) 479-1800 3/4/2020 Public 0 Yes Regular

Orlando Health Care Center for the Homeless, Inc.

Central C09 Outpatient Treatment COMP-023914 LIC-1045676 59-3185020 SITE-00002577 232 N. Orange Blossom Trail 32805 Orange (407) 428-5751 4/25/2020 Public 0 No Regular

Orlando John DuRocher Counseling LLC Central C09 Outpatient Treatment COMP-026411 LIC-1045074 26-5590134 SITE-00003450 1801 E. Colonial Drive, #207 32803 Orange (407) 734-5417 1/29/2021 Private 0 Yes RegularOrlando Metro Treatment of Florida, LP Central C09 Medication And Methadone

Maintenance TreatmentCOMP-024769 LIC-1045386 58-2341219 SITE-00002484 1002 North Semoran Blvd. 32807 Orange (407) 351-7080 8/3/2020 Private 0 Yes Regular

Orlando Personal Recovery Network Central C09 Outpatient Treatment COMP-026113 LIC-1047334 58-2010734 SITE-00005286 6735 Conroy Road 32835 Orange (407) 753-7441 11/6/2020 Private 0 No RegularOrlando Personal Recovery Network Central C09 Outpatient Treatment COMP-026115 LIC-1047334 58-2010734 SITE-00005289 10967 Lake Underhill Road 32825 Orange (407) 753-7441 11/6/2020 Private 0 No RegularOrlando Premium Counseling Group, LLC Central C09 Outpatient Treatment COMP-023279 LIC-1045656 47-5432912 SITE-00004627 672 N semoran Blvd 32807 Orange (407) 595-4327 4/17/2020 Private 0 No RegularOrlando Specialized Treatment, Education &

Prevention Services, Inc. (S.T.E.P.S.)Central C09 Aftercare COMP-026066 LIC-1046989 63-0836930 SITE-00003987 1033 North Pine Hills Road 32808 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Orlando Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Case Management COMP-026067 LIC-1046987 63-0836930 SITE-00003987 1033 North Pine Hills Road 32808 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Orlando Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Day or Night Treatment COMP-026069 LIC-1046985 63-0836930 SITE-00003987 1033 North Pine Hills Road 32808 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Source: PLADS Page 60 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Orlando Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Intensive Outpatient Treatment COMP-026072 LIC-1046988 63-0836930 SITE-00003987 1033 North Pine Hills Road 32808 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Orlando Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Outpatient Treatment COMP-025948 LIC-1046986 63-0836930 SITE-00002334 1714 N. Goldenrod Rd 32807 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

ORLANDO Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Outpatient Treatment COMP-026017 LIC-1046986 63-0836930 SITE-00002338 750 S ORANGE BLOSSOM TRL 32805-3138

Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Orlando Specialized Treatment, Education & Prevention Services, Inc. (S.T.E.P.S.)

Central C09 Outpatient Treatment COMP-026068 LIC-1046986 63-0836930 SITE-00003987 1033 North Pine Hills Road 32808 Orange (407) 522-2144 11/19/2020 Private 0 Yes Regular

Orlando SPMJ Inc. Central C09 Day or Night Treatment COMP-026396 LIC-1047399 83-2323522 SITE-00004982 6735 Conroy Road 32835 Orange (561) 715-3260 5/11/2020 Private 0 No ProbationaryOrlando SPMJ Inc. Central C09 Intensive Outpatient Treatment COMP-026395 LIC-1047398 83-2323522 SITE-00004982 6735 Conroy Road 32835 Orange (561) 715-3260 5/11/2020 Private 0 No ProbationaryOrlando SPMJ Inc. Central C09 Outpatient Detoxification COMP-026391 LIC-1047396 83-2323522 SITE-00004982 6735 Conroy Road 32835 Orange (561) 715-3260 5/11/2020 Private 0 No ProbationaryOrlando SPMJ Inc. Central C09 Outpatient Treatment COMP-026394 LIC-1047397 83-2323522 SITE-00004982 6735 Conroy Road 32835 Orange (561) 715-3260 5/11/2020 Private 0 No ProbationaryOrlando Sunrise Detox Orlando, LLC Central C09 Inpatient Detoxification COMP-023562 LIC-1045568 47-2096222 SITE-00002128 2431 W. Sand Lake Road 32809 Orange (407) 857-6117 4/17/2020 Private 20 Yes RegularOrlando Sunrise Detox Orlando, LLC Central C09 Residential Level 1 COMP-023563 LIC-1045574 47-2096222 SITE-00002128 2431 W. Sand Lake Road 32809 Orange (407) 857-6117 4/17/2020 Private 20 Yes RegularORLANDO The Chrysalis Center, Inc. d/b/a

Chrysalis HealthCentral C09 Outpatient Treatment COMP-018371 LIC-1046519 20-1966531 SITE-00001221 1703 W COLONIAL DR 32804-

7000Orange (954) 587-1008 9/30/2020 Private 0 Yes Regular

Orlando TrueCore Behavioral Solutions, LLC Central C09 Level 1 Prevention COMP-023403 LIC-1045567 54-1859903 SITE-00001427 3150 39th Street 32839 Orange (813) 514-6275 4/7/2020 Public 0 No RegularOrlando TrueCore Behavioral Solutions, LLC Central C09 Outpatient Treatment COMP-023404 LIC-1045557 54-1859903 SITE-00001427 3150 39th Street 32839 Orange (813) 514-6275 4/7/2020 Public 0 No RegularOrlando Turning Point of Central Florida Central C09 Outpatient Treatment COMP-022985 LIC-1045625 59-3344663 SITE-00000795 1516 E. Colonial Drive 32803 Orange (407) 740-5655 3/3/2020 Public 0 No RegularORLANDO UCF Health Services/ Alcohol and Other

Drug ServicesCentral C09 General Intervention COMP-026039 LIC-1046982 05-8012763 SITE-00000265 4000 CENTRAL FLORIDA BLVD BLDG 127 32816-

8005Orange (407) 823-2924 12/4/2020 Public 0 No Regular

ORLANDO UCF Health Services/ Alcohol and Other Drug Services

Central C09 Outpatient Treatment COMP-026040 LIC-1046981 05-8012763 SITE-00000265 4000 CENTRAL FLORIDA BLVD BLDG 127 32816-8005

Orange (407) 823-2924 12/4/2020 Public 0 No Regular

Orlando White Sands Treatment Center Tampa, LLC

Central C09 Intensive Outpatient Treatment COMP-027116 LIC-1045400 81-3488022 SITE-00004885 56 E Pine St. 32801 Orange (813) 756-5660 5/18/2020 Private 0 Yes Probationary

Orlando White Sands Treatment Center Tampa, LLC

Central C09 Outpatient Treatment COMP-027115 LIC-1046607 81-3488022 SITE-00004885 56 E Pine St. 32801 Orange (813) 756-5660 5/18/2020 Private 0 Yes Probationary

ORMOND BEACH PACE Center for Girls, Inc. Northeast C07 Level 1 Prevention COMP-024231 LIC-1045495 59-2414492 SITE-00002388 208 CENTRAL AVE 32174-6322

Volusia (904) 448-8002 6/6/2020 Public 0 No Regular

ORMOND BEACH PACE Center for Girls, Inc. Northeast C07 Level 2 Prevention COMP-024230 LIC-1045494 59-2414492 SITE-00002388 208 CENTRAL AVE 32174-6322

Volusia (904) 448-8002 6/6/2020 Public 0 No Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Day or Night Treatment COMP-026328 LIC-1045181 81-4159040 SITE-00004038 1200 W GRANADA BLVD 32174-8157

Volusia (773) 733-6629 1/11/2021 Private 0 Yes Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Intensive Inpatient Treatment COMP-026326 LIC-1045184 81-4159040 SITE-00003528 515 TOMOKA AVE 32174-6133

Volusia (773) 733-6629 1/11/2021 Private 4 Yes Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Intensive Outpatient Treatment COMP-026329 LIC-1045179 81-4159040 SITE-00004038 1200 W GRANADA BLVD 32174-8157

Volusia (773) 733-6629 1/11/2021 Private 0 Yes Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Outpatient Treatment COMP-026330 LIC-1045183 81-4159040 SITE-00004038 1200 W GRANADA BLVD 32174-8157

Volusia (773) 733-6629 1/11/2021 Private 0 Yes Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Residential Level 1 COMP-026327 LIC-1045182 81-4159040 SITE-00003528 515 TOMOKA AVE 32174-6133

Volusia (773) 733-6629 1/11/2021 Private 16 Yes Regular

ORMOND BEACH PHPTS of Ormond Beach, LLC Northeast C07 Residential Level 4 COMP-026331 LIC-1047368 81-4159040 SITE-00003528 515 TOMOKA AVE 32174-6133

Volusia (773) 733-6629 1/11/2021 Private 8 Yes Regular

Osprey Tri-County Counseling & Life Skills Center, Inc.

Suncoast C12 Outpatient Treatment COMP-022649 LIC-1045474 20-2102079 SITE-00000051 674 South Tamiami Trail 34229 Sarasota (941) 876-3060 3/29/2020 Private 0 No Regular

Oviedo Human Services & Resources Associates Central C18 Outpatient Treatment COMP-026016 LIC-1047068 59-3031163 SITE-00000703 131 W. Broadway 32765 Seminole (407) 767-0039 11/22/2020 Private 0 No Regular

Source: PLADS Page 61 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Pahokee GEO Reentry Services, LLC. Southeast C15 Intensive Outpatient Treatment COMP-024124 LIC-1045773 46-1260559 SITE-00003955 500 Bay Bottom Road 33487 Palm Beach

(561) 285-6346 4/4/2020 Public 0 No Regular

Pahokee GEO Reentry Services, LLC. Southeast C15 Intensive Outpatient Treatment COMP-026922 LIC-1045773 46-1260559 SITE-00003955 500 Bay Bottom Road 33487 Palm Beach

(561) 285-6346 10/21/2020 Public 0 No Regular

Pahokee GEO Reentry Services, LLC. Southeast C15 Level 1 Prevention COMP-026197 LIC-1045772 46-1260559 SITE-00003955 500 Bay Bottom Road 33487 Palm Beach

(561) 285-6346 10/21/2020 Private 0 No Regular

Pahokee GEO Reentry Services, LLC. Southeast C15 Outpatient Treatment COMP-024121 LIC-1046417 46-1260559 SITE-00003955 500 Bay Bottom Road 33487 Palm Beach

(561) 285-6346 4/4/2020 Public 0 No Regular

Pahokee GEO Reentry Services, LLC. Southeast C15 Outpatient Treatment COMP-026921 LIC-1046417 46-1260559 SITE-00003955 500 Bay Bottom Road 33487 Palm Beach

(561) 285-6346 10/21/2020 Public 0 No Regular

Paisley Rite of Passage Inc. Central C05 Outpatient Treatment COMP-024362 LIC-1046229 88-0235002 SITE-00004813 46820 Hope Forest Circle 32767 Lake (352) 717-3694 3/23/2020 Public 0 No RegularPalatka Hanley Center Foundation Inc Northeast C07 Level 1 Prevention COMP-024094 LIC-1045481 20-2871945 SITE-00004063 5006 Ragsdale Drive 32177 Putnam (561) 268-2350 6/30/2020 Public 0 Yes RegularPALATKA ITM Group Northeast C07 Aftercare COMP-025173 LIC-1046498 01-0554517 SITE-00003361 421 SAINT JOHNS AVE 32177-

4700Putnam (352) 379-2829 9/11/2020 Private 0 No Regular

PALATKA ITM Group Northeast C07 Outpatient Treatment COMP-025169 LIC-1046499 01-0554517 SITE-00003361 421 SAINT JOHNS AVE 32177-4700

Putnam (352) 379-2829 9/11/2020 Private 0 No Regular

PALATKA SMA Healthcare, Inc. Northeast C07 Case Management COMP-025966 LIC-1046903 59-0976866 SITE-00000802 330 KAY LARKIN DR 32177-2307

Putnam (386) 236-1804 11/30/2020 Public 0 Yes Regular

PALATKA SMA Healthcare, Inc. Northeast C07 General Intervention COMP-025964 LIC-1046888 59-0976866 SITE-00000802 330 KAY LARKIN DR 32177-2307

Putnam (386) 236-1804 11/30/2020 Public 0 Yes Regular

PALATKA SMA Healthcare, Inc. Northeast C07 Level 1 Prevention COMP-025961 LIC-1046894 59-0976866 SITE-00000802 330 KAY LARKIN DR 32177-2307

Putnam (386) 236-1804 11/30/2020 Public 0 Yes Regular

PALATKA SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025962 LIC-1046889 59-0976866 SITE-00000802 330 KAY LARKIN DR 32177-2307

Putnam (386) 236-1804 11/30/2020 Public 0 Yes Regular

Palm Bay Alpha Medical Consulting, Inc. Central C18 Day or Night Treatment COMP-026344 LIC-1047362 81-3152773 SITE-00005224 1663 Georgia St. 32907 Brevard (321) 567-4869 3/25/2020 Private 0 No ProbationaryPalm Bay Alpha Medical Consulting, Inc. Central C18 Intensive Outpatient Treatment COMP-026342 LIC-1047285 81-3152773 SITE-00005224 1663 Georgia St. 32907 Brevard (321) 567-4869 3/25/2020 Private 0 No ProbationaryPalm Bay Alpha Medical Consulting, Inc. Central C18 Outpatient Treatment COMP-025231 LIC-1047286 81-3152773 SITE-00005224 1663 Georgia St. 32907 Brevard (321) 567-4869 8/18/2020 Private 0 No RegularPalm Bay Aspire Health Partners, Inc. Central C18 Outpatient Treatment COMP-023689 LIC-1045858 59-2301233 SITE-00000808 4670 Lipscomb Street NE 32905 Brevard (407) 875-3700 5/23/2020 Public 0 Yes RegularPalm Bay CFSATC Inc. Central C18 Medication And Methadone

Maintenance TreatmentCOMP-023101 LIC-1045829 59-2311257 SITE-00000683 2198 Harris Avenue 32905 Brevard (407) 843-0041 4/8/2020 Private 0 Yes Regular

Palm Bay Circles of Care, Inc. Central C18 Residential Level 4 COMP-024002 LIC-1046134 59-1101553 SITE-00000171 2061 Harbor Avenue NE 32905 Brevard (321) 984-4900 6/27/2020 Public 15 Yes RegularPALM BAY Specialized Treatment, Education &

Prevention Services, Inc. (S.T.E.P.S.)Central C18 Outpatient Treatment COMP-026070 LIC-1046986 63-0836930 SITE-00002357 4430 DIXIE HWY NE 32905-

4327Brevard (407) 522-2144 11/19/2020 Private 0 Yes Regular

PALM BCH GDNS Sunset House, Inc. Southeast C15 Residential Level 4 COMP-026311 LIC-1045272 65-0695313 SITE-00000123 8800 SUNSET DR 33410-6233

Palm Beach

(561) 627-9701 1/24/2021 Private 34 Yes Regular

PALM BCH SHRS Behavioral Health of the Palm Beaches, Inc.

Southeast C15 Day or Night Treatment COMP-024273 LIC-1046318 65-0962565 SITE-00000022 101 CASCADE LN 33404-5710

Palm Beach

(954) 533-7705 6/4/2020 Private 0 Yes Regular

PALM BCH SHRS Behavioral Health of the Palm Beaches, Inc.

Southeast C15 Inpatient Detoxification COMP-024271 LIC-1046319 65-0962565 SITE-00000022 101 CASCADE LN 33404-5710

Palm Beach

(954) 533-7705 6/4/2020 Private 10 Yes Regular

PALM BCH SHRS Behavioral Health of the Palm Beaches, Inc.

Southeast C15 Intensive Outpatient Treatment COMP-024274 LIC-1046321 65-0962565 SITE-00000022 101 CASCADE LN 33404-5710

Palm Beach

(954) 533-7705 6/4/2020 Private 0 Yes Regular

PALM BCH SHRS Behavioral Health of the Palm Beaches, Inc.

Southeast C15 Outpatient Treatment COMP-026146 LIC-1047390 65-0962565 SITE-00000022 101 CASCADE LN 33404-5710

Palm Beach

(954) 533-7705 5/4/2020 Private 0 Yes Probationary

PALM BCH SHRS Behavioral Health of the Palm Beaches, Inc.

Southeast C15 Residential Level 1 COMP-024272 LIC-1046320 65-0962565 SITE-00000022 101 CASCADE LN 33404-5710

Palm Beach

(954) 533-7705 6/4/2020 Private 18 Yes Regular

Palm Beach Beach House Treatment Center, LLC Southeast C15 Day or Night Treatment COMP-025008 LIC-1046401 47-2470694 SITE-00004968 742 US HWY 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Palm Beach Beach House Treatment Center, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024889 LIC-1046407 47-2470694 SITE-00004968 742 US HWY 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Source: PLADS Page 62 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Palm Beach Beach House Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-024891 LIC-1046404 47-2470694 SITE-00004968 742 US HWY 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Palm Beach Beach House Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-024892 LIC-1046403 47-2470694 SITE-00004968 742 US HWY 1 33408 Palm Beach

(561) 337-3200 6/25/2020 Private 0 Yes Regular

Palm Beach Gardens Alternatives For You, LLC Southeast C15 Intensive Outpatient Treatment COMP-025044 LIC-1047274 83-4545586 SITE-00005204 8895 N Military Trail 33410 Palm Beach

(561) 377-8880 7/31/2020 Private 0 No Regular

Palm Beach Gardens Alternatives For You, LLC Southeast C15 Outpatient Detoxification COMP-025046 LIC-1047273 83-4545586 SITE-00005204 8895 N Military Trail 33410 Palm Beach

(561) 377-8880 7/31/2020 Private 0 No Regular

Palm Beach Gardens Alternatives For You, LLC Southeast C15 Outpatient Treatment COMP-025043 LIC-1047272 83-4545586 SITE-00005204 8895 N Military Trail 33410 Palm Beach

(561) 377-8880 7/31/2020 Private 0 No Regular

Palm Beach Gardens Believe Treatment Center, LLC Southeast C15 Day or Night Treatment COMP-027013 LIC-1047392 83-2577264 SITE-00005359 3450 Northlake Blvd 33403 Palm Beach

(561) 360-2388 5/4/2020 Private 0 No Probationary

Palm Beach Gardens Believe Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-027012 LIC-1047400 83-2577264 SITE-00005359 3450 Northlake Blvd 33403 Palm Beach

(561) 360-2388 5/12/2020 Private 0 No Probationary

Palm Beach Gardens Believe Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-027011 LIC-1047393 83-2577264 SITE-00005359 3450 Northlake Blvd 33403 Palm Beach

(561) 360-2388 5/4/2020 Private 0 No Probationary

Palm Beach Gardens Ebb Tide Treatment, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024064 LIC-1046136 47-4972719 SITE-00002046 3385 Burns Road Suite 108 33410 Palm Beach

(561) 799-3679 6/17/2020 Private 0 Yes Regular

Palm Beach Gardens Ebb Tide Treatment, LLC Southeast C15 Intensive Outpatient Treatment COMP-024422 LIC-1046135 47-4972719 SITE-00002046 3385 Burns Road Suite 108 33410 Palm Beach

(561) 799-3679 6/17/2020 Private 0 Yes Regular

Palm Beach Gardens Ebb Tide Treatment, LLC Southeast C15 Outpatient Treatment COMP-024424 LIC-1046137 47-4972719 SITE-00002046 3385 Burns Road Suite 108 33410 Palm Beach

(561) 799-3679 6/16/2020 Private 0 Yes Regular

Palm Beach Gardens Family First Adolescent Services LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025554 LIC-1046703 47-1015178 SITE-00005178 700 Village Square Crossing 33410 Palm Beach

(561) 328-7370 10/18/2020 Private 0 Yes Regular

Palm Beach Gardens Family First Adolescent Services LLC Southeast C15 Intensive Outpatient Treatment COMP-025555 LIC-1046702 47-1015178 SITE-00005178 700 Village Square Crossing 33410 Palm Beach

(561) 328-7370 10/18/2020 Private 0 Yes Regular

Palm Beach Gardens Palm Beach Elite, Inc. Southeast C15 Intensive Outpatient Treatment COMP-024556 LIC-1046206 90-0615552 SITE-00003199 3375 Burns Road Suite 201 33410 Palm Beach

(561) 324-2140 7/12/2020 Private 0 Yes Regular

Palm Beach Gardens Palm Beach Elite, Inc. Southeast C15 Outpatient Treatment COMP-024555 LIC-1046205 90-0615552 SITE-00003199 3375 Burns Road Suite 201 33410 Palm Beach

(561) 324-2140 7/12/2020 Private 0 Yes Regular

Palm City THE TOLEDO CLINIC, LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-024252 LIC-1046608 47-2009206 SITE-00004847 1497 SW Martin Downs Blvd Palm City, Florida 34990

34986 Martin (772) 919-1422 5/17/2020 Private 0 Yes Regular

Palm City THE TOLEDO CLINIC, LLC Southeast C19 Intensive Outpatient Treatment COMP-024253 LIC-1046887 47-2009206 SITE-00004847 1497 SW Martin Downs Blvd Palm City, Florida 34990

34986 Martin (772) 919-1422 5/17/2020 Private 0 Yes Regular

Palm City THE TOLEDO CLINIC, LLC Southeast C19 Outpatient Treatment COMP-024247 LIC-1046886 47-2009206 SITE-00004847 1497 SW Martin Downs Blvd Palm City, Florida 34990

34986 Martin (772) 919-1422 5/17/2020 Private 0 Yes Regular

PALM CITY Tykes & Teens, Inc. Southeast C19 Aftercare COMP-024352 LIC-1045240 65-0570899 SITE-00001179 3577 SW CORPORATE PKWY 34990-8153

Martin (772) 220-3439 7/13/2020 Private 0 Yes Regular

PALM CITY Tykes & Teens, Inc. Southeast C19 Level 1 Prevention COMP-024720 LIC-1045241 65-0570899 SITE-00001179 3577 SW CORPORATE PKWY 34990-8153

Martin (772) 220-3439 7/13/2020 Private 0 Yes Regular

PALM CITY Tykes & Teens, Inc. Southeast C19 Level 2 Prevention COMP-024719 LIC-1045242 65-0570899 SITE-00001179 3577 SW CORPORATE PKWY 34990-8153

Martin (772) 220-3439 7/13/2020 Private 0 Yes Regular

PALM CITY Tykes & Teens, Inc. Southeast C19 Outpatient Treatment COMP-024721 LIC-1045235 65-0570899 SITE-00001179 3577 SW CORPORATE PKWY 34990-8153

Martin (772) 220-3439 7/13/2020 Private 0 Yes Regular

Palm Coast Palm Coast Recovery Center LLC Northeast C07 Day or Night Treatment COMP-024571 LIC-1047177 83-4098283 SITE-00005138 160 Cypress Point Parkway 32164 Flagler (828) 707-0250 4/27/2020 Private 0 No RegularPalm Coast Palm Coast Recovery Center LLC Northeast C07 Intensive Outpatient Treatment COMP-024572 LIC-1047176 83-4098283 SITE-00005138 160 Cypress Point Parkway 32164 Flagler (828) 707-0250 4/27/2020 Private 0 No RegularPalm Coast Palm Coast Recovery Center LLC Northeast C07 Outpatient Treatment COMP-024573 LIC-1047175 83-4098283 SITE-00005138 160 Cypress Point Parkway 32164 Flagler (828) 707-0250 4/27/2020 Private 0 No RegularPalm Coast White Sands Treatment Center Tampa,

LLCNortheast C07 Outpatient Treatment COMP-027106 LIC-1046607 81-3488022 SITE-00004923 15 Cypress Branch Way 32164 Flagler (813) 756-5660 5/21/2020 Private 0 Yes Probationary

Palm Coast Ygeia Medical Institutes Northeast C07 Intensive Outpatient Treatment COMP-024359 LIC-1046372 01-0768756 SITE-00001245 145 Cypress Point Parkway, Suite 105 32164 Flagler (386) 864-9800 6/20/2020 Private 0 No RegularPalm Coast Ygeia Medical Institutes Northeast C07 Outpatient Treatment COMP-024357 LIC-1046373 01-0768756 SITE-00001245 145 Cypress Point Parkway, Suite 105 32164 Flagler (386) 864-9800 6/20/2020 Private 0 No Regular

Source: PLADS Page 63 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Palm Harbor Elliott & Associates Suncoast C06 Outpatient Treatment COMP-024441 LIC-1046102 26-3668283 SITE-00000208 1022 Nebraska Avenue 34683 Pinellas (727) 789-0084 7/7/2020 Private 0 No RegularPalm Harbor Wayne A. Grosnick and Associates, PA Suncoast C06 Aftercare COMP-024083 LIC-1045541 59-3538238 SITE-00002657 31085 US Hwy 19 North 34684 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

Palm Harbor Wayne A. Grosnick and Associates, PA Suncoast C06 Outpatient Treatment COMP-023551 LIC-1045542 59-3538238 SITE-00002657 31085 US Hwy 19 North 34684 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

Palm Harbor White Sands Treatment Center Tampa, LLC

Suncoast C06 Intensive Outpatient Treatment COMP-027197 LIC-1045400 81-3488022 SITE-00004854 36472 US 19 32684 Pinellas (813) 756-5660 5/28/2020 Private 0 Yes Probationary

Palm Harbor White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-023848 LIC-1046607 81-3488022 SITE-00004854 36472 US 19 32684 Pinellas (813) 756-5660 3/6/2020 Private 0 Yes Regular

Palm Harbor White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-026628 LIC-1046607 81-3488022 SITE-00004854 36472 US 19 32684 Pinellas (813) 756-5660 11/3/2020 Private 0 Yes Regular

Palm Springs Aabaco Behavioral Health Treatment Center, Inc.

Southeast C15 Day or Night Treatment COMP-025123 LIC-1046020 26-1841047 SITE-00002302 2764 South Congress Ave Ste B 33461 Palm Beach

(561) 508-6360 7/7/2020 Private 0 Yes Regular

Palm Springs Aabaco Behavioral Health Treatment Center, Inc.

Southeast C15 Intensive Outpatient Treatment COMP-025126 LIC-1046019 26-1841047 SITE-00002302 2764 South Congress Ave Ste B 33461 Palm Beach

(561) 508-6360 7/7/2020 Private 0 Yes Regular

PALM SPRINGS CFSATC Inc. Southeast C15 Medication And Methadone Maintenance Treatment

COMP-023102 LIC-1045829 59-2311257 SITE-00001274 3155 LAKE WORTH RD 33461-6917

Palm Beach

(407) 843-0041 4/8/2020 Private 0 Yes Regular

Palm Springs Genesis House Recovery Residence, Inc. Southeast C15 Day or Night Treatment COMP-026425 LIC-1045998 65-0456525 SITE-00002298 2764 South Congress Ave Ste A 33461 Palm Beach

(561) 508-6360 2/11/2021 Private 0 Yes Regular

Palm Springs Genesis House Recovery Residence, Inc. Southeast C15 Intensive Outpatient Treatment COMP-026424 LIC-1045997 65-0456525 SITE-00002298 2764 South Congress Ave Ste A 33461 Palm Beach

(561) 508-6360 2/11/2021 Private 0 Yes Regular

Palm Springs NR Florida Associates, LLC Southeast C15 Inpatient Detoxification COMP-024707 LIC-1045907 46-2508915 SITE-00002455 4020 Lake Worth Road 33461 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 33 Yes Regular

Palm Springs NR Florida Associates, LLC Southeast C15 Intensive Inpatient Treatment COMP-024710 LIC-1045905 46-2508915 SITE-00002455 4020 Lake Worth Road 33461 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 20 Yes Regular

Palm Springs NR Florida Associates, LLC Southeast C15 Residential Level 1 COMP-024709 LIC-1045906 46-2508915 SITE-00002455 4020 Lake Worth Road 33461 Palm Beach

(561) 444-3512 x2400

5/8/2020 Private 67 Yes Regular

PALM SPRINGS The Palms Recovery Florida, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-026407 LIC-1045490 81-3107441 SITE-00002979 3444 S CONGRESS AVE 33461-3022

Palm Beach

(844) 807-2567 1/29/2021 Private 0 Yes Regular

PALM SPRINGS The Palms Recovery Florida, LLC Southeast C15 Intensive Outpatient Treatment COMP-026405 LIC-1045489 81-3107441 SITE-00002979 3444 S CONGRESS AVE 33461-3022

Palm Beach

(844) 807-2567 1/29/2021 Private 0 Yes Regular

PALM SPRINGS The Palms Recovery Florida, LLC Southeast C15 Outpatient Treatment COMP-026406 LIC-1045491 81-3107441 SITE-00002979 3444 S CONGRESS AVE 33461-3022

Palm Beach

(844) 807-2567 1/29/2021 Private 0 Yes Regular

Palmetto Manatee County Girls Clubs, Inc. Suncoast C12 Level 1 Prevention COMP-024080 LIC-1045849 59-1271332 SITE-00000804 1500 10th St. W 34221 Manatee (941) 747-5757 5/24/2020 Public 0 No RegularPalmetto Palmetto Youth Center Suncoast C12 Level 1 Prevention COMP-024118 LIC-1045935 59-1090377 SITE-00000900 501 17th St. W. 34221 Manatee (941) 722-0783 7/12/2020 Public 0 No RegularPANAMA CITY Bay County Healthcare Services,LLC. Northwest C14 Medication And Methadone

Maintenance TreatmentCOMP-025882 LIC-1045352 90-0705534 SITE-00001801 1530 HARRISON AVE 32405-

4619Bay (229) 242-0953 1/17/2021 Private 0 Yes Regular

PANAMA CITY Bay County Healthcare Services,LLC. Northwest C14 Outpatient Methadone Detoxification COMP-025895 LIC-1047076 90-0705534 SITE-00001801 1530 HARRISON AVE 32405-4619

Bay (229) 242-0953 1/17/2021 Private 0 Yes Regular

PANAMA CITY Bay County Sheriff's Office Northwest C14 General Intervention COMP-025264 LIC-1046522 56-6000515 SITE-00002031 5700 STAR LN 32404-2050

Bay (850) 785-5245 10/7/2020 Public 0 No Regular

PANAMA CITY Bay District Schools Northwest C14 Level 1 Prevention COMP-026413 LIC-1047120 59-6000511 SITE-00001493 1515 JUNE AVE 32405-3728

Bay (850) 767-5312 2/16/2021 Public 0 No Regular

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 Aftercare COMP-024763 LIC-1045710 59-2912345 SITE-00005194 2230 N. East Avenue 32405 Bay (850) 872-7676 5/7/2020 Public 0 Yes Regular

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 Case Management COMP-024781 LIC-1047190 59-2912345 SITE-00005194 2230 N. East Avenue 32405 Bay (850) 872-7676 5/7/2020 Public 0 Yes Regular

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 General Intervention COMP-024762 LIC-1045702 59-2912345 SITE-00005194 2230 N. East Avenue 32405 Bay (850) 872-7676 5/7/2020 Public 0 Yes Regular

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 Inpatient Detoxification COMP-023895 LIC-1045703 59-2912345 SITE-00001508 4000 E. 3rd Street 32404 Bay (850) 872-7676 5/7/2020 Public 15 Yes Regular

Source: PLADS Page 64 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 Intensive Outpatient Treatment COMP-024761 LIC-1045716 59-2912345 SITE-00005194 2230 N. East Avenue 32405 Bay (850) 872-7676 5/7/2020 Public 0 Yes Regular

Panama City Chemical Addictions Recovery Effort, Inc

Northwest C14 Outpatient Treatment COMP-024770 LIC-1045693 59-2912345 SITE-00005194 2230 N. East Avenue 32405 Bay (850) 872-7676 5/7/2020 Public 0 Yes Regular

PANAMA CITY GEO Corrections and Detention, Inc Northwest C14 Intensive Outpatient Treatment COMP-023041 LIC-1045326 46-1258100 SITE-00003366 5400 BAYLINE DR 32404-5492

Bay (863) 946-2420 1/13/2021 Private 0 No Regular

PANAMA CITY Gulf Coast Addiction Medicine, LLC Northwest C14 Aftercare COMP-025757 LIC-1046905 47-5335944 SITE-00001856 277 FOREST PARK CIR 32405-4920

Bay (850) 522-1516 11/30/2020 Private 0 No Regular

PANAMA CITY Gulf Coast Addiction Medicine, LLC Northwest C14 Intensive Outpatient Treatment COMP-025755 LIC-1045137 47-5335944 SITE-00001856 277 FOREST PARK CIR 32405-4920

Bay (850) 522-1516 11/30/2020 Private 0 No Regular

PANAMA CITY Gulf Coast Addiction Medicine, LLC Northwest C14 Outpatient Treatment COMP-025756 LIC-1046812 47-5335944 SITE-00001856 277 FOREST PARK CIR 32405-4920

Bay (850) 522-1516 11/30/2020 Private 0 No Regular

Panama City Life Management Center of N.W. Florida

Northwest C14 Inpatient Detoxification COMP-024695 LIC-1046228 59-1375195 SITE-00001589 525 East 15th Street 32405 Bay (850) 522-4485 7/30/2020 Public 16 Yes Regular

Panama City Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024689 LIC-1046376 59-1375195 SITE-00001589 525 East 15th Street 32405 Bay (850) 522-4485 7/30/2020 Public 0 Yes Regular

PANAMA CITY Non-Secure Programs, Inc. Northwest C14 Residential Level 2 COMP-025258 LIC-1045213 59-3305702 SITE-00001621 2700 E 11TH ST 32401-4409

Bay (850) 747-8776 7/30/2020 Public 75 No Regular

Panama City PANAMA CITY SPRINGS WELLNESS & RECOVERY CENTER, INC

Northwest C14 Day or Night Treatment COMP-024662 LIC-1046329 81-3808611 SITE-00004755 1212 West 19th Street 32405 Bay (850) 567-6164 7/15/2020 Private 0 Yes Regular

Panama City PANAMA CITY SPRINGS WELLNESS & RECOVERY CENTER, INC

Northwest C14 Inpatient Detoxification COMP-024656 LIC-1046327 81-3808611 SITE-00004755 1212 West 19th Street 32405 Bay (850) 567-6164 7/15/2020 Private 14 Yes Regular

Panama City PANAMA CITY SPRINGS WELLNESS & RECOVERY CENTER, INC

Northwest C14 Intensive Outpatient Treatment COMP-024659 LIC-1046328 81-3808611 SITE-00004755 1212 West 19th Street 32405 Bay (850) 567-6164 7/15/2020 Private 0 Yes Regular

Panama City PANAMA CITY SPRINGS WELLNESS & RECOVERY CENTER, INC

Northwest C14 Outpatient Treatment COMP-024663 LIC-1047062 81-3808611 SITE-00004755 1212 West 19th Street 32405 Bay (850) 567-6164 7/15/2020 Private 0 Yes Regular

Panama City PANAMA CITY SPRINGS WELLNESS & RECOVERY CENTER, INC

Northwest C14 Residential Level 2 COMP-024658 LIC-1046326 81-3808611 SITE-00004755 1212 West 19th Street 32405 Bay (850) 567-6164 7/15/2020 Private 30 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Day or Night Treatment COMP-024387 LIC-1046117 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Day or Night Treatment COMP-024403 LIC-1046117 47-1156415 SITE-00004353 22600 PANAMA CITY BEACH PKWY 32413-1150

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Inpatient Detoxification COMP-024389 LIC-1046115 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 10 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Intensive Outpatient Treatment COMP-024386 LIC-1046119 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Intensive Outpatient Treatment COMP-024402 LIC-1046119 47-1156415 SITE-00004353 22600 PANAMA CITY BEACH PKWY 32413-1150

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Outpatient Detoxification COMP-024388 LIC-1046116 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Outpatient Treatment COMP-024381 LIC-1046118 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Outpatient Treatment COMP-024401 LIC-1046118 47-1156415 SITE-00004353 22600 PANAMA CITY BEACH PKWY 32413-1150

Bay (850) 249-4300 6/30/2020 Private 0 Yes Regular

Panama City Beach JourneyPure Panhandle, LLC Northwest C14 Residential Level 2 COMP-024390 LIC-1046120 47-1156415 SITE-00002119 22219 PANAMA CITY BEACH PKWY 32413-3227

Bay (850) 249-4300 6/30/2020 Private 16 Yes Regular

Pembroke Pines Broward Psychological Services, Inc. Southeast C17 Intensive Outpatient Treatment COMP-025771 LIC-1046856 45-2495976 SITE-00000203 1941 NW 150th Avenue 33028 Broward (954) 374-4747 12/7/2020 Private 0 Yes Regular

Pembroke Pines Broward Psychological Services, Inc. Southeast C17 Outpatient Treatment COMP-025770 LIC-1046898 45-2495976 SITE-00000203 1941 NW 150th Avenue 33028 Broward (954) 374-4747 12/7/2020 Private 0 Yes Regular

Source: PLADS Page 65 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Pembroke Pines Greenlife Intensive Outpatient Program, LLC

Southeast C17 Intensive Outpatient Treatment COMP-023953 LIC-1046216 46-0525989 SITE-00001628 1601 N. Palm Avenue 33026 Broward (954) 854-3053 7/19/2020 Private 0 No Regular

Pembroke Pines Greenlife Intensive Outpatient Program, LLC

Southeast C17 Outpatient Treatment COMP-023952 LIC-1046215 46-0525989 SITE-00001628 1601 N. Palm Avenue 33026 Broward (954) 854-3053 7/19/2020 Private 0 No Regular

Pembroke Pines Memorial Healthcare System Southeast C17 Aftercare COMP-024378 LIC-1046124 59-6014973 SITE-00000527 7031 Taft Street 33024 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularPembroke Pines Memorial Healthcare System Southeast C17 General Intervention COMP-024385 LIC-1046130 59-6014973 SITE-00000527 7031 Taft Street 33024 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularPembroke Pines Memorial Healthcare System Southeast C17 Level 1 Prevention COMP-024391 LIC-1046138 59-6014973 SITE-00000527 7031 Taft Street 33024 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularPembroke Pines Memorial Healthcare System Southeast C17 Outpatient Treatment COMP-024392 LIC-1046131 59-6014973 SITE-00000527 7031 Taft Street 33024 Broward (954) 276-0820 8/2/2020 Public 0 Yes RegularPembroke Pines Ocean Breeze Detox, LLC Southeast C17 Inpatient Detoxification COMP-023798 LIC-1046163 47-3657019 SITE-00004676 8401 South Palm Drive 33025 Broward (954) 487-1248 5/4/2020 Private 28 Yes RegularPembroke Pines Ocean Breeze Detox, LLC Southeast C17 Intensive Inpatient Treatment COMP-023796 LIC-1045967 47-3657019 SITE-00004676 8401 South Palm Drive 33025 Broward (954) 487-1248 5/4/2020 Private 2 Yes RegularPembroke Pines Ocean Breeze Detox, LLC Southeast C17 Residential Level 1 COMP-023797 LIC-1045968 47-3657019 SITE-00004676 8401 South Palm Drive 33025 Broward (954) 487-1248 5/4/2020 Private 36 Yes RegularPembroke Pines The Village South, Inc. Southeast C17 Aftercare COMP-024204 LIC-1045449 59-1452736 SITE-00005151 1601 and 1633 Poinciana Drive 33025 Broward (305) 573-3784 3/14/2020 Public 0 Yes RegularPembroke Pines The Village South, Inc. Southeast C17 Outpatient Treatment COMP-024123 LIC-1045450 59-1452736 SITE-00005151 1601 and 1633 Poinciana Drive 33025 Broward (305) 573-3784 3/14/2020 Public 0 Yes RegularPembroke Pines The Village South, Inc. Southeast C17 Residential Level 2 COMP-024120 LIC-1045462 59-1452736 SITE-00005151 1601 and 1633 Poinciana Drive 33025 Broward (305) 573-3784 3/14/2020 Public 32 Yes RegularPembroke Pines The Village South, Inc. Southeast C17 Residential Level 3 COMP-024254 LIC-1045460 59-1452736 SITE-00005151 1601 and 1633 Poinciana Drive 33025 Broward (305) 573-3784 3/14/2020 Public 15 Yes RegularPembroke Pines The Village South, Inc. Southeast C17 Residential Level 4 COMP-024255 LIC-1045461 59-1452736 SITE-00005151 1601 and 1633 Poinciana Drive 33025 Broward (305) 573-3784 3/14/2020 Public 10 Yes RegularPembroke Pines Youth Opportunity Investments LLC Southeast C17 Outpatient Treatment COMP-024445 LIC-1045556 27-0972875 SITE-00003195 8301 Palm Drive 33025 Broward (727) 800-3511

x411024/1/2020 Public 0 Yes Regular

PEMBROKE PNES Community Rightful Center, Inc. Southern C11 Outpatient Treatment COMP-026475 LIC-1045143 20-8675318 SITE-00004356 9526 NE 2 Ave 33138 Dade (305) 754-5701 12/25/2020 Private 0 Yes Regular

PEMBROKE PNES COMPASS HEALTH SYSTEMS, P.A. Southeast C17 Outpatient Treatment COMP-024412 LIC-1046158 65-0199979 SITE-00000381 1601 N PALM AVE 33026-3204

Broward (305) 891-0050 6/15/2020 Private 0 No Regular

PEMBROKE PNES Second Chance Detox, LLC Southeast C17 Inpatient Detoxification COMP-026791 LIC-1045415 81-2526348 SITE-00003345 1151 POINCIANA DR 33025-4561

Broward (954) 505-5544 3/21/2020 Private 20 Yes Interim

PEMBROKE PNES Second Chance Detox, LLC Southeast C17 Inpatient Detoxification COMP-026793 LIC-1045415 81-2526348 SITE-00004477 1201 POINCIANA DR 33025-4562

Broward (954) 505-5544 3/21/2020 Private 10 Yes Interim

PEMBROKE PNES Second Chance Detox, LLC Southeast C17 Residential Level 1 COMP-026792 LIC-1045414 81-2526348 SITE-00003345 1151 POINCIANA DR 33025-4561

Broward (954) 505-5544 3/21/2020 Private 10 Yes Interim

PEMBROKE PNES Second Chance Detox, LLC Southeast C17 Residential Level 1 COMP-026794 LIC-1045414 81-2526348 SITE-00004477 1201 POINCIANA DR 33025-4562

Broward (954) 505-5544 3/21/2020 Private 20 Yes Interim

PEMBROKE PNES South Florida Therapeutic Solutions Southeast C17 Aftercare COMP-024592 LIC-1046323 26-2942463 SITE-00002745 9050 PINES BLVD STE 383 33024-6400

Broward (954) 324-8383 7/7/2020 Private 0 No Regular

PEMBROKE PNES South Florida Therapeutic Solutions Southeast C17 Outpatient Treatment COMP-024591 LIC-1046333 26-2942463 SITE-00002745 9050 PINES BLVD STE 383 33024-6400

Broward (954) 324-8383 7/7/2020 Private 0 No Regular

Pensacola Addiction and Mental Health Services, LLC

Northwest C01 Aftercare COMP-024072 LIC-1045803 63-1198286 SITE-00005131 8880 University Parkway 32514 Escambia (205) 251-7753 3/16/2020 Private 0 Yes Regular

Pensacola Addiction and Mental Health Services, LLC

Northwest C01 Intensive Outpatient Treatment COMP-024074 LIC-1045802 63-1198286 SITE-00005131 8880 University Parkway 32514 Escambia (205) 251-7753 3/16/2020 Private 0 Yes Regular

Pensacola Addiction and Mental Health Services, LLC

Northwest C01 Level 1 Prevention COMP-023967 LIC-1045811 63-1198286 SITE-00005131 8880 University Parkway 32514 Escambia (205) 251-7753 3/16/2020 Private 0 Yes Regular

Pensacola Addiction and Mental Health Services, LLC

Northwest C01 Outpatient Treatment COMP-023550 LIC-1047220 63-1198286 SITE-00005131 8880 University Parkway 32514 Escambia (205) 251-7753 5/8/2020 Private 0 Yes Regular

Pensacola AMIKids Pensacola, Inc. Northwest C01 Outpatient Treatment COMP-025189 LIC-1045104 59-3051944 SITE-00002418 640 Roberts Avenue, Corry Station 32511 Escambia (850) 453-7490 8/4/2020 Private 0 No RegularPensacola Camelot Community Care, Inc. Northwest C01 Outpatient Treatment COMP-024198 LIC-1047152 31-1659302 SITE-00004820 1800 St. Mary Avenue 32501 Escambia (727) 593-0003 4/1/2020 Public 0 Yes RegularPensacola CDAC Behavioral Healthcare, Inc. Northwest C01 Case Management COMP-026382 LIC-1045288 59-1380927 SITE-00001345 3804 N. 9th Avenue 32503 Escambia (850) 434-2724 2/15/2021 Public 0 Yes RegularPensacola CDAC Behavioral Healthcare, Inc. Northwest C01 General Intervention COMP-026385 LIC-1045307 59-1380927 SITE-00001345 3804 N. 9th Avenue 32503 Escambia (850) 434-2724 2/15/2021 Public 0 Yes RegularPensacola CDAC Behavioral Healthcare, Inc. Northwest C01 Level 1 Prevention COMP-026383 LIC-1045259 59-1380927 SITE-00001345 3804 N. 9th Avenue 32503 Escambia (850) 434-2724 2/15/2021 Public 0 Yes RegularPensacola CDAC Behavioral Healthcare, Inc. Northwest C01 Level 2 Prevention COMP-026437 LIC-1045260 59-1380927 SITE-00001345 3804 N. 9th Avenue 32503 Escambia (850) 434-2724 2/15/2021 Public 0 Yes RegularPensacola Florida Therapy Services, Inc. Northwest C01 Aftercare COMP-026541 LIC-1047373 59-3226958 SITE-00005315 6425 N. Pensacola Blvd 32401 Escambia (850) 215-6007 4/15/2020 Private 0 Yes ProbationaryPensacola Florida Therapy Services, Inc. Northwest C01 Outpatient Treatment COMP-026540 LIC-1047372 59-3226958 SITE-00005315 6425 N. Pensacola Blvd 32401 Escambia (850) 215-6007 4/15/2020 Private 0 Yes ProbationaryPensacola In Home Recovery Care Northwest C01 Aftercare COMP-026440 LIC-1047367 84-3259076 SITE-00005303 4300 Bayou Blvd 32503 Escambia (850) 377-5623 4/6/2020 Private 0 No Probationary

Source: PLADS Page 66 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Pensacola In Home Recovery Care Northwest C01 Outpatient Treatment COMP-026439 LIC-1047366 84-3259076 SITE-00005303 4300 Bayou Blvd 32503 Escambia (850) 377-5623 4/6/2020 Private 0 No ProbationaryPENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Addictions Receiving Facility COMP-023800 LIC-1045589 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-

1857Escambia (850) 469-3500 3/29/2020 Public 10 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Aftercare COMP-023782 LIC-1045249 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-1857

Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 General Intervention COMP-023845 LIC-1045590 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-1857

Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

Pensacola LAKEVIEW CENTER, INC. Northwest C01 General Intervention COMP-023765 LIC-1045590 59-0737872 SITE-00002665 1800 Fairchild Street 32504 Escambia (850) 469-3500 3/29/2020 Public 0 Yes RegularPensacola LAKEVIEW CENTER, INC. Northwest C01 General Intervention COMP-023766 LIC-1045590 59-0737872 SITE-00002725 8590 Ashland Avenue 32535 Escambia (850) 469-3500 3/29/2020 Public 0 Yes RegularPENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Intensive Outpatient Treatment COMP-023780 LIC-1045620 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-

1857Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Medication And Methadone Maintenance Treatment

COMP-023843 LIC-1045629 59-0737872 SITE-00002532 1800 N PALAFOX ST 32501-2141

Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-023844 LIC-1045591 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-1857

Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

Pensacola LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-023768 LIC-1045591 59-0737872 SITE-00002665 1800 Fairchild Street 32504 Escambia (850) 469-3500 3/29/2020 Public 0 Yes RegularPensacola LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-023773 LIC-1045591 59-0737872 SITE-00002725 8590 Ashland Avenue 32535 Escambia (850) 469-3500 3/29/2020 Public 0 Yes RegularPENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Residential Level 2 COMP-023777 LIC-1045624 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-

1857Escambia (850) 469-3500 3/29/2020 Public 46 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Residential Level 3 COMP-023225 LIC-1045623 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-1857

Escambia (850) 469-3500 3/29/2020 Public 16 Yes Regular

PENSACOLA LAKEVIEW CENTER, INC. Northwest C01 Treatment Alternatives for Safer Communities

COMP-023783 LIC-1045337 59-0737872 SITE-00001272 1221 W LAKEVIEW AVE 32501-1857

Escambia (850) 469-3500 3/29/2020 Public 0 Yes Regular

Pensacola M & A Community Outreach Center, Inc. Northwest C01 Aftercare COMP-024614 LIC-1046370 59-3663189 SITE-00003143 1400 North P Street 32505 Escambia (850) 429-1755 5/1/2020 Private 0 No Regular

Pensacola M & A Community Outreach Center, Inc. Northwest C01 Outpatient Treatment COMP-025878 LIC-1045720 59-3663189 SITE-00003143 1400 North P Street 32505 Escambia (850) 429-1755 5/1/2020 Private 0 No Regular

PENSACOLA Non-Secure Programs, Inc. Northwest C01 Residential Level 2 COMP-025718 LIC-1045213 59-3305702 SITE-00001430 225 BRENT LN STE C 32503-2271

Escambia (850) 747-8776 11/8/2020 Public 60 No Regular

PENSACOLA PACE Center for Girls, Inc. Northwest C01 Level 1 Prevention COMP-024235 LIC-1045495 59-2414492 SITE-00002882 1028 UNDERWOOD AVE 32504-8924

Escambia (904) 448-8002 6/6/2020 Public 0 No Regular

PENSACOLA PACE Center for Girls, Inc. Northwest C01 Level 2 Prevention COMP-024236 LIC-1045494 59-2414492 SITE-00002882 1028 UNDERWOOD AVE 32504-8924

Escambia (904) 448-8002 6/6/2020 Public 0 No Regular

Pensacola The Chrysalis Center, Inc. d/b/a Chrysalis Health

Northwest C01 Outpatient Treatment COMP-025290 LIC-1046519 20-1966531 SITE-00004334 3250 West Navy Blvd 32506 Escambia (954) 587-1008 9/30/2020 Public 0 Yes Regular

Pensacola Transition House, Inc. Northwest C01 Outpatient Treatment COMP-025931 LIC-1045129 59-3208913 SITE-00005279 2935 North L Street 32501 Escambia (407) 892-5700 9/30/2020 Public 0 Yes RegularPerrine Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026450 LIC-1045194 59-1372690 SITE-00000914 18255 Homestead Avenue 33157 Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Perry Apalachee Center, Inc. Northeast C03 Case Management COMP-024140 LIC-1046109 59-1162148 SITE-00001736 1421 Old Dixie Highway South 32348 Taylor (850) 523-3333 5/12/2020 Public 0 Yes RegularPerry Taylor County Recovery Center, Inc. Northeast C03 Aftercare COMP-025929 LIC-1045138 46-3841353 SITE-00004966 115 E. Drew St. 32347 Taylor (850) 584-2772 12/8/2020 Private 0 No Regular

Perry Taylor County Recovery Center, Inc. Northeast C03 Aftercare COMP-026530 LIC-1045138 46-3841353 SITE-00005337 115- E. Drew Street 32347 Taylor (850) 584-2772 1/6/2021 Private 0 No Regular

Perry Taylor County Recovery Center, Inc. Northeast C03 Level 2 Prevention COMP-025990 LIC-1046629 46-3841353 SITE-00004966 115 E. Drew St. 32347 Taylor (850) 584-2772 12/8/2020 Private 0 No Regular

Perry Taylor County Recovery Center, Inc. Northeast C03 Level 2 Prevention COMP-026529 LIC-1046629 46-3841353 SITE-00005337 115- E. Drew Street 32347 Taylor (850) 584-2772 1/6/2021 Private 0 No Regular

Perry Taylor County Recovery Center, Inc. Northeast C03 Outpatient Treatment COMP-025928 LIC-1046624 46-3841353 SITE-00004966 115 E. Drew St. 32347 Taylor (850) 584-2772 12/8/2020 Private 0 No Regular

Perry Taylor County Recovery Center, Inc. Northeast C03 Outpatient Treatment COMP-026531 LIC-1046624 46-3841353 SITE-00005337 115- E. Drew Street 32347 Taylor (850) 584-2772 1/6/2021 Private 0 No Regular

Source: PLADS Page 67 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Pinellas Park Addiction and Psychiatric Care, LLC. Suncoast C06 Intensive Outpatient Treatment COMP-026002 LIC-1047224 83-3581697 SITE-00005189 6580 72nd Avenue N 33781 Pinellas (727) 440-5612 10/14/2020 Private 0 No Regular

Pinellas Park Addiction and Psychiatric Care, LLC. Suncoast C06 Outpatient Treatment COMP-026003 LIC-1047223 83-3581697 SITE-00005189 6580 72nd Avenue N 33781 Pinellas (727) 440-5612 10/14/2020 Private 0 No Regular

Pinellas Park Metro Treatment of Florida, LP Suncoast C06 Medication And Methadone Maintenance Treatment

COMP-024755 LIC-1045386 58-2341219 SITE-00002943 8800 49th Street North 33782 Pinellas (407) 351-7080 8/3/2020 Private 0 Yes Regular

PINELLAS PARK Operation PAR, Inc. Suncoast C06 Case Management COMP-025907 LIC-1046640 59-1349234 SITE-00001710 6655 66TH ST N 33781-5033

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

PINELLAS PARK Operation PAR, Inc. Suncoast C06 Level 1 Prevention COMP-025444 LIC-1046662 59-1349234 SITE-00001710 6655 66TH ST N 33781-5033

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

PINELLAS PARK Operation PAR, Inc. Suncoast C06 Outpatient Treatment COMP-025448 LIC-1046650 59-1349234 SITE-00001710 6655 66TH ST N 33781-5033

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

PINELLAS PARK PACE Center for Girls, Inc. Suncoast C06 Level 1 Prevention COMP-024228 LIC-1045495 59-2414492 SITE-00001487 4000 GATEWAY CENTRE BLVD 33782-6141

Pinellas (904) 448-8002 6/6/2020 Public 0 No Regular

PINELLAS PARK PACE Center for Girls, Inc. Suncoast C06 Level 2 Prevention COMP-024229 LIC-1045494 59-2414492 SITE-00001487 4000 GATEWAY CENTRE BLVD 33782-6141

Pinellas (904) 448-8002 6/6/2020 Public 0 No Regular

Pinellas Park Personal Enrichment Through Mental Health Services, Inc.

Suncoast C06 Addictions Receiving Facility COMP-024583 LIC-1045895 59-3153549 SITE-00000691 11254 58th St N 33782 Pinellas (727) 545-6477 6/7/2020 Public 1 Yes Regular

Pinellas Park SequelCare of Florida, LLC Suncoast C06 Outpatient Treatment COMP-024882 LIC-1047262 90-0341538 SITE-00002271 3491 Gandy Blvd. 33781 Pinellas (727) 547-0607 7/14/2020 Private 0 No RegularPinellas Park WestCare Gulfcoast-Florida, Inc. Suncoast C06 Aftercare COMP-024499 LIC-1045835 59-3714627 SITE-00004513 8800 49th Street North 33782 Pinellas (727) 490-6767 7/15/2020 Public 0 No RegularPinellas Park WestCare Gulfcoast-Florida, Inc. Suncoast C06 Outpatient Treatment COMP-024498 LIC-1045836 59-3714627 SITE-00004513 8800 49th Street North 33782 Pinellas (727) 490-6767 7/15/2020 Public 0 Yes RegularPlant City Psychological Management Group, P.A. Suncoast C13 Aftercare COMP-024814 LIC-1046264 65-0305008 SITE-00001173 1501 West Reynolds St. 33563 Hillsborou

gh(813) 505-9565 7/28/2020 Public 0 No Regular

Plant City Psychological Management Group, P.A. Suncoast C13 Outpatient Treatment COMP-024813 LIC-1046258 65-0305008 SITE-00001173 1501 West Reynolds St. 33563 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Plant City Sunspire Health Florida, LLC. Suncoast C13 Day or Night Treatment COMP-025629 LIC-1047026 46-3424864 SITE-00005246 2021 N Wheeler Street 33563 Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

Plant City Sunspire Health Florida, LLC. Suncoast C13 Inpatient Detoxification COMP-025617 LIC-1047312 46-3424864 SITE-00005246 2021 N Wheeler Street 33563 Hillsborough

(813) 258-4605 4/17/2020 Private 22 Yes Regular

Plant City Sunspire Health Florida, LLC. Suncoast C13 Intensive Outpatient Treatment COMP-025635 LIC-1047028 46-3424864 SITE-00005246 2021 N Wheeler Street 33563 Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

Plant City Sunspire Health Florida, LLC. Suncoast C13 Residential Level 1 COMP-025623 LIC-1047314 46-3424864 SITE-00005246 2021 N Wheeler Street 33563 Hillsborough

(813) 258-4605 4/17/2020 Private 44 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Day or Night Treatment COMP-022961 LIC-1045399 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Day or Night Treatment COMP-026613 LIC-1045399 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Inpatient Detoxification COMP-022964 LIC-1045362 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 32 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Inpatient Detoxification COMP-026614 LIC-1045362 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 32 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Inpatient Treatment COMP-022959 LIC-1045392 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 8 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Inpatient Treatment COMP-026612 LIC-1045392 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 8 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-022960 LIC-1045400 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-026611 LIC-1045400 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Residential Level 1 COMP-022963 LIC-1045398 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 50 Yes Regular

Source: PLADS Page 68 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Residential Level 1 COMP-026616 LIC-1045398 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 50 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Residential Level 4 COMP-022962 LIC-1045397 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 3/6/2020 Private 60 Yes Regular

Plant City White Sands Treatment Center Tampa, LLC

Suncoast C13 Residential Level 4 COMP-026615 LIC-1045397 81-3488022 SITE-00003568 2011 N. Wheeler Street 33563 Hillsborough

(813) 756-5660 11/3/2020 Private 60 Yes Regular

PLANTATION FIFTH STREET COUNSELING CENTER IV, INC

Southeast C17 Intensive Outpatient Treatment COMP-024588 LIC-1046182 65-0755279 SITE-00001490 4121 NW 5TH ST 33317-2120

Broward (954) 797-5222 7/12/2020 Private 0 Yes Regular

PLANTATION FIFTH STREET COUNSELING CENTER IV, INC

Southeast C17 Outpatient Treatment COMP-024586 LIC-1046181 65-0755279 SITE-00001490 4121 NW 5TH ST 33317-2120

Broward (954) 797-5222 7/12/2020 Private 0 Yes Regular

Plantation PsychSolutions, Inc. Southeast C17 Outpatient Treatment COMP-022461 LIC-1046413 65-0428340 SITE-00004943 7890 Peters Road 33324 Broward (305) 668-9000 4/14/2020 Private 0 Yes RegularPLANTATION Smith Mental Health Associates, LLC Southeast C17 Outpatient Treatment COMP-026144 LIC-1045250 65-0929557 SITE-00002184 601 S STATE ROAD 7 33317-

4054Broward (954) 321-2296 1/15/2021 Public 0 No Regular

Polk City Gateway Foundation, Inc. Central C10 Intensive Outpatient Treatment COMP-024664 LIC-1046307 36-2670036 SITE-00004771 10800 Evans Road 33868-6925

Polk (312) 663-1130 5/11/2020 Public 0 No Regular

Polk City Gateway Foundation, Inc. Central C10 Level 1 Prevention COMP-025887 LIC-1046478 36-2670036 SITE-00004771 10800 Evans Road 33868-6925

Polk (312) 663-1130 5/11/2020 Public 0 No Regular

Polk City Gateway Foundation, Inc. Central C10 Outpatient Treatment COMP-024665 LIC-1046306 36-2670036 SITE-00004771 10800 Evans Road 33868-6925

Polk (312) 663-1130 5/11/2020 Public 0 No Regular

Pompano Beach Addiction Solutions by the Sea, Inc. Southeast C17 Day or Night Treatment COMP-023538 LIC-1045604 27-1395387 SITE-00004937 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Addiction Solutions by the Sea, Inc. Southeast C17 Intensive Outpatient Treatment COMP-023537 LIC-1045603 27-1395387 SITE-00004937 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Addiction Solutions by the Sea, Inc. Southeast C17 Outpatient Treatment COMP-023539 LIC-1045605 27-1395387 SITE-00004937 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Addiction Solutions by the Sea, Inc. Southeast C17 Residential Level 4 COMP-027111 LIC-1047402 27-1395387 SITE-00005140 1101 NE 25th Avenue 33062 Broward (954) 949-9014 5/21/2020 Private 11 Yes Probationary

Pompano Beach Banyan Community Health Center, Inc. Southeast C17 Residential Level 2 COMP-024637 LIC-1046036 27-3164934 SITE-00001110 214, 220 SW 2nd Street 33060 Broward (305) 398-6100 8/20/2020 Public 22 Yes Regular

Pompano Beach Banyan Community Health Center, Inc. Southeast C17 Residential Level 2 COMP-024636 LIC-1046036 27-3164934 SITE-00001267 226 SW 2nd Street 33060 Broward (305) 398-6100 8/20/2020 Public 6 Yes Regular

POMPANO BEACH Banyan Treatment and Recovery, LLC Southeast C17 Day or Night Treatment COMP-026389 LIC-1045483 46-3183459 SITE-00004005 950 N FEDERAL HWY 33062-4314

Broward (954) 533-7705 2/19/2021 Private 0 Yes Regular

POMPANO BEACH Banyan Treatment and Recovery, LLC Southeast C17 Day or Night Treatment with Community Housing

COMP-026390 LIC-1045485 46-3183459 SITE-00004005 950 N FEDERAL HWY 33062-4314

Broward (954) 533-7705 2/19/2021 Private 0 Yes Regular

POMPANO BEACH Banyan Treatment and Recovery, LLC Southeast C17 Intensive Outpatient Treatment COMP-026392 LIC-1045484 46-3183459 SITE-00004005 950 N FEDERAL HWY 33062-4314

Broward (954) 533-7705 2/19/2021 Private 0 Yes Regular

POMPANO BEACH Banyan Treatment and Recovery, LLC Southeast C17 Outpatient Treatment COMP-026393 LIC-1045482 46-3183459 SITE-00004005 950 N FEDERAL HWY 33062-4314

Broward (954) 533-7705 2/19/2021 Private 0 Yes Regular

Pompano Beach Broward Recovery Center LLC Southeast C17 Day or Night Treatment COMP-024868 LIC-1047228 83-4209542 SITE-00005205 2100 Park Central Blvd 33064 Broward (561) 414-6189 6/16/2020 Private 0 No RegularPompano Beach Broward Recovery Center LLC Southeast C17 Intensive Outpatient Treatment COMP-024867 LIC-1047230 83-4209542 SITE-00005205 2100 Park Central Blvd 33064 Broward (561) 414-6189 6/16/2020 Private 0 No RegularPompano Beach Broward Recovery Center LLC Southeast C17 Outpatient Treatment COMP-024866 LIC-1047229 83-4209542 SITE-00005205 2100 Park Central Blvd 33064 Broward (561) 414-6189 6/16/2020 Private 0 No RegularPompano Beach Changes Treatment and Recovery, Inc. Southeast C17 Day or Night Treatment with

Community HousingCOMP-025927 LIC-1045336 45-5302685 SITE-00001329 2310 East Atlantic Boulevard 33062 Broward (954) 990-7171 12/3/2020 Private 0 Yes Regular

Pompano Beach Changes Treatment and Recovery, Inc. Southeast C17 Intensive Outpatient Treatment COMP-026473 LIC-1045333 45-5302685 SITE-00001329 2310 East Atlantic Boulevard 33062 Broward (954) 990-7171 3/22/2020 Private 0 Yes Probationary

Pompano Beach Changes Treatment and Recovery, Inc. Southeast C17 Outpatient Detoxification COMP-025908 LIC-1045335 45-5302685 SITE-00001329 2310 East Atlantic Boulevard 33062 Broward (954) 990-7171 12/3/2020 Private 0 Yes Regular

Pompano Beach Changes Treatment and Recovery, Inc. Southeast C17 Outpatient Treatment COMP-025817 LIC-1045334 45-5302685 SITE-00001329 2310 East Atlantic Boulevard 33062 Broward (954) 990-7171 12/3/2020 Private 0 Yes Regular

Source: PLADS Page 69 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Pompano Beach FIFTH STREET COUNSELING CENTER IV, INC

Southeast C17 Outpatient Treatment COMP-024585 LIC-1046181 65-0755279 SITE-00001531 130 East Mcnab Road 33060 Broward (954) 797-5222 7/12/2020 Private 0 Yes Regular

Pompano Beach Legacy Healing Detox, LLC Southeast C17 Inpatient Detoxification COMP-026051 LIC-1047055 83-1513664 SITE-00004905 803 NW 2nd Ave 33060 Broward (404) 281-0263 12/26/2020 Private 34 Yes Regular

Pompano Beach Legacy Healing Detox, LLC Southeast C17 Residential Level 1 COMP-026050 LIC-1047054 83-1513664 SITE-00004905 803 NW 2nd Ave 33060 Broward (404) 281-0263 12/26/2020 Private 22 Yes Regular

Pompano Beach Metro Treatment of Florida, LP Southeast C17 Medication And Methadone Maintenance Treatment

COMP-024316 LIC-1045386 58-2341219 SITE-00005145 555 SW 12th Avenue 33069 Broward (407) 351-7080 8/3/2020 Private 0 Yes Regular

Pompano Beach Order My Steps Corp. Southeast C17 Day or Night Treatment COMP-024046 LIC-1045844 26-0562244 SITE-00003634 1280 South Powerline Road 33069 Broward (954) 316-1200 4/5/2020 Private 0 No RegularPompano Beach Order My Steps Corp. Southeast C17 Intensive Outpatient Treatment COMP-024044 LIC-1045843 26-0562244 SITE-00003634 1280 South Powerline Road 33069 Broward (954) 316-1200 4/5/2020 Private 0 No RegularPompano Beach Order My Steps Corp. Southeast C17 Outpatient Treatment COMP-024045 LIC-1045845 26-0562244 SITE-00003634 1280 South Powerline Road 33069 Broward (954) 316-1200 4/5/2020 Private 0 No RegularPOMPANO BEACH Sequel TSI of Florida LLC Southeast C17 Outpatient Treatment COMP-025633 LIC-1045297 27-1360815 SITE-00002939 3090 N POWERLINE RD 33069-

1014Broward (256) 880-3339 10/25/2020 Public 0 No Regular

Pompano Beach Simple Path Recovery, LLC Southeast C17 Day or Night Treatment COMP-023020 LIC-1047137 47-2491339 SITE-00000983 1990 North Federal Hwy 33062 Broward (954) 532-9201 3/10/2020 Private 0 Yes RegularPompano Beach Simple Path Recovery, LLC Southeast C17 Intensive Outpatient Treatment COMP-023949 LIC-1045670 47-2491339 SITE-00000983 1990 North Federal Hwy 33062 Broward (954) 532-9201 3/10/2020 Private 0 Yes RegularPompano Beach Simple Path Recovery, LLC Southeast C17 Outpatient Treatment COMP-023950 LIC-1045669 47-2491339 SITE-00000983 1990 North Federal Hwy 33062 Broward (954) 532-9201 3/10/2020 Private 0 Yes RegularPompano Beach Sober Investments, LLC Southeast C17 Inpatient Detoxification COMP-023595 LIC-1047197 81-1664876 SITE-00005092 971 S Dixie Hwy 33060 Broward (609) 202-5669 5/21/2020 Private 0 No RegularPompano Beach Sober Investments, LLC Southeast C17 Residential Level 1 COMP-024031 LIC-1047196 81-1664876 SITE-00005092 971 S Dixie Hwy 33060 Broward (609) 202-5669 5/21/2020 Private 30 No RegularPompano Beach THE LUMINOUS CARE LLC Southeast C17 Day or Night Treatment COMP-026281 LIC-1047346 84-2851129 SITE-00005312 2301 W SAMPLE RD, BLDG 4, 33073 Broward (954) 482-1985 11/30/2020 Private 0 No Regular

Pompano Beach THE LUMINOUS CARE LLC Southeast C17 Intensive Outpatient Treatment COMP-026282 LIC-1047348 84-2851129 SITE-00005312 2301 W SAMPLE RD, BLDG 4, 33073 Broward (954) 482-1985 11/30/2020 Private 0 No Regular

Pompano Beach THE LUMINOUS CARE LLC Southeast C17 Outpatient Detoxification COMP-026280 LIC-1047347 84-2851129 SITE-00005312 2301 W SAMPLE RD, BLDG 4, 33073 Broward (954) 482-1985 11/30/2020 Private 0 No Regular

Pompano Beach THE LUMINOUS CARE LLC Southeast C17 Outpatient Treatment COMP-026283 LIC-1047349 84-2851129 SITE-00005312 2301 W SAMPLE RD, BLDG 4, 33073 Broward (954) 482-1985 11/30/2020 Private 0 No Regular

POMPANO BEACH The Retreat of Broward Inc. Southeast C17 Inpatient Detoxification COMP-025925 LIC-1045301 46-5230033 SITE-00003706 100 NW 17TH AVE 33069-2814

Broward (954) 977-8380 10/28/2020 Private 16 Yes Regular

POMPANO BEACH The Retreat of Broward Inc. Southeast C17 Residential Level 1 COMP-025926 LIC-1046906 46-5230033 SITE-00003706 100 NW 17TH AVE 33069-2814

Broward (954) 977-8380 10/28/2020 Private 5 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Day or Night Treatment with Community Housing

COMP-023545 LIC-1046695 76-0751278 SITE-00004147 3773 North Federal Highway 33064 Broward (954) 949-9014 4/14/2020 Private 44 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Day or Night Treatment with Community Housing

COMP-023546 LIC-1046695 76-0751278 SITE-00004924 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Inpatient Detoxification COMP-023197 LIC-1046569 76-0751278 SITE-00004147 3773 North Federal Highway 33064 Broward (954) 949-9014 4/14/2020 Private 16 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Intensive Outpatient Treatment COMP-023594 LIC-1045570 76-0751278 SITE-00004924 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Outpatient Detoxification COMP-023548 LIC-1045572 76-0751278 SITE-00004924 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Outpatient Treatment COMP-023596 LIC-1045573 76-0751278 SITE-00004924 150 SW 12th Avenue 33069 Broward (954) 949-9014 4/14/2020 Private 0 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Residential Level 1 COMP-023544 LIC-1046627 76-0751278 SITE-00004147 3773 North Federal Highway 33064 Broward (954) 949-9014 4/14/2020 Private 12 Yes Regular

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Residential Level 4 COMP-027102 LIC-1047401 76-0751278 SITE-00005280 1040 NE 25th Avenue 33062 Broward (954) 949-9014 5/21/2020 Private 12 Yes Probationary

Pompano Beach Treatment Solution of So. Florida, Inc. Southeast C17 Residential Level 5 COMP-026045 LIC-1045571 76-0751278 SITE-00005280 1040 NE 25th Avenue 33062 Broward (954) 949-9014 4/14/2020 Private 12 Yes Regular

Port Charlotte Halcyon Management Group, Inc. Suncoast C20 Aftercare COMP-025679 LIC-1046471 46-2922097 SITE-00003564 3505 Depew Avenue 33952 Charlotte (941) 255-5900 9/10/2020 Public 0 No RegularPort Charlotte Halcyon Management Group, Inc. Suncoast C20 Outpatient Treatment COMP-025662 LIC-1046472 46-2922097 SITE-00003564 3505 Depew Avenue 33952 Charlotte (941) 255-5900 9/10/2020 Public 0 No Regular

Source: PLADS Page 70 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Port Charlotte Lifeworks! Substance Abuse Services, LLC

Suncoast C20 Intensive Outpatient Treatment COMP-025578 LIC-1046643 47-1505499 SITE-00000006 4678 Tamiami Trail 33980 Charlotte (941) 979-5023 10/15/2020 Private 0 No Regular

Port Charlotte Lifeworks! Substance Abuse Services, LLC

Suncoast C20 Outpatient Treatment COMP-025577 LIC-1046644 47-1505499 SITE-00000006 4678 Tamiami Trail 33980 Charlotte (941) 979-5023 10/15/2020 Private 0 No Regular

Port Charlotte Tri-County Counseling & Life Skills Center, Inc.

Suncoast C20 Outpatient Treatment COMP-022629 LIC-1045474 20-2102079 SITE-00000935 4055 Tamiami Trail 33952 Charlotte (941) 876-3060 3/29/2020 Private 0 No Regular

PORT ORANGE Oasis Treatment Center Northeast C07 Aftercare COMP-025850 LIC-1046896 20-5429175 SITE-00001094 4606 CLYDE MORRIS BLVD 32129-7454

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

PORT ORANGE Oasis Treatment Center Northeast C07 Outpatient Treatment COMP-025849 LIC-1046715 20-5429175 SITE-00001094 4606 CLYDE MORRIS BLVD 32129-7454

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

Port Richey SequelCare of Florida, LLC Suncoast C06 Outpatient Treatment COMP-024881 LIC-1047262 90-0341538 SITE-00002597 9550 US Highway 19 34668 Pasco (727) 547-0607 7/14/2020 Private 0 No RegularPORT ST LUCIE Amethyst Recovery Center, LLC Southeast C19 Inpatient Detoxification COMP-026527 LIC-1045763 47-2151880 SITE-00003760 2749 SW PORT SAINT LUCIE BLVD 34953-

2806St. Lucie (772) 207-7604 2/17/2021 Private 20 Yes Regular

PORT ST LUCIE Amethyst Recovery Center, LLC Southeast C19 Residential Level 1 COMP-026526 LIC-1045761 47-2151880 SITE-00003760 2749 SW PORT SAINT LUCIE BLVD 34953-2806

St. Lucie (772) 207-7604 2/17/2021 Private 20 Yes Regular

PORT ST LUCIE Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-025787 LIC-1045210 20-4128112 SITE-00003712 725 SE PORT ST LUCIE BLVD STE 201 34984-5232

St. Lucie (772) 286-8933 10/20/2020 Private 0 No Regular

PORT ST LUCIE Tradewinds Enrichment Solutions, Inc. Southeast C19 Level 1 Prevention COMP-026105 LIC-1046747 20-4128112 SITE-00000846 540 NW UNIVERSITY BLVD 34986-2280

St. Lucie (772) 286-8933 10/20/2020 Private 0 No Regular

PORT ST LUCIE Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-025788 LIC-1046746 20-4128112 SITE-00000846 540 NW UNIVERSITY BLVD 34986-2280

St. Lucie (772) 286-8933 10/20/2020 Private 0 No Regular

PORT ST LUCIE Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-026107 LIC-1046746 20-4128112 SITE-00003712 725 SE PORT ST LUCIE BLVD STE 201 34984-5232

St. Lucie (772) 286-8933 10/20/2020 Private 0 No Regular

PORT ST LUCIE Unity Behavioral Health LLC Southeast C19 Inpatient Detoxification COMP-024358 LIC-1046559 81-3924024 SITE-00003694 2349 SW CARY ST 34984-5002

St. Lucie (561) 596-8073 5/7/2020 Private 7 Yes Regular

PORT ST LUCIE Unity Behavioral Health LLC Southeast C19 Intensive Inpatient Treatment COMP-025338 LIC-1046558 81-3924024 SITE-00003684 2325 SW CARY ST 34984-5002

St. Lucie (561) 596-8073 5/7/2020 Private 1 Yes Regular

PORT ST LUCIE Unity Behavioral Health LLC Southeast C19 Residential Level 1 COMP-025339 LIC-1046521 81-3924024 SITE-00003684 2325 SW CARY ST 34984-5002

St. Lucie (561) 596-8073 5/7/2020 Private 7 Yes Regular

PORT ST LUCIE Unity Behavioral Health LLC Southeast C19 Residential Level 1 COMP-025340 LIC-1046521 81-3924024 SITE-00003694 2349 SW CARY ST 34984-5002

St. Lucie (561) 596-8073 5/7/2020 Private 1 Yes Regular

PORT ST LUCIE Unity Behavioral Health LLC Southeast C19 Residential Level 1 COMP-025336 LIC-1046521 81-3924024 SITE-00003698 2301 SW CARY ST 34984-5002

St. Lucie (561) 596-8073 5/7/2020 Private 8 Yes Regular

Port St. Joe Life Management Center of N.W. Florida

Northwest C14 Outpatient Treatment COMP-024693 LIC-1046376 59-1375195 SITE-00001610 311 Williams Avenue 32456 Gulf (850) 522-4485 7/30/2020 Public 0 Yes Regular

Port St. Lucie Foundations Wellness Center, LLC Southeast C19 Day or Night Treatment COMP-025254 LIC-1046468 47-5616667 SITE-00002452 160 NW Central Park Plaza 34986 St. Lucie (772) 828-6019 9/27/2020 Private 0 Yes RegularPort St. Lucie Foundations Wellness Center, LLC Southeast C19 Intensive Outpatient Treatment COMP-025253 LIC-1046469 47-5616667 SITE-00002452 160 NW Central Park Plaza 34986 St. Lucie (772) 828-6019 9/27/2020 Private 0 Yes RegularPort St. Lucie Foundations Wellness Center, LLC Southeast C19 Outpatient Treatment COMP-025252 LIC-1046470 47-5616667 SITE-00002452 160 NW Central Park Plaza 34986 St. Lucie (772) 828-6019 9/27/2020 Private 0 Yes RegularPort St. Lucie Just Believe Recovery Center of Port

Saint Lucie, LLCSoutheast C19 Inpatient Detoxification COMP-025049 LIC-1045880 46-3413530 SITE-00003314 699 NW Airoso Blvd 34983 St. Lucie (772) 252-1235 4/5/2020 Private 20 Yes Regular

Port St. Lucie Just Believe Recovery Center of Port Saint Lucie, LLC

Southeast C19 Residential Level 1 COMP-023059 LIC-1045888 46-3413530 SITE-00003314 699 NW Airoso Blvd 34983 St. Lucie (772) 252-1235 4/5/2020 Private 13 Yes Regular

Port St. Lucie Miracle's Recovery Center, LLC. Southeast C19 Intensive Outpatient Treatment COMP-026738 LIC-1047381 83-2433620 SITE-00005342 1837 SE Port St Lucie Blvd 34952 St. Lucie (772) 249-4988 4/27/2020 Private 0 No ProbationaryPort St. Lucie Miracle's Recovery Center, LLC. Southeast C19 Outpatient Treatment COMP-026739 LIC-1047380 83-2433620 SITE-00005342 1837 SE Port St Lucie Blvd 34952 St. Lucie (772) 249-4988 4/27/2020 Private 0 No ProbationaryPort St. Lucie RMP Enterprises LLC Southeast C19 Day or Night Treatment COMP-025672 LIC-1047291 26-0673397 SITE-00003935 546 NW University Blvd. 34986 St. Lucie (561) 578-8600 8/24/2020 Private 0 Yes RegularPort St. Lucie RMP Enterprises LLC Southeast C19 Intensive Outpatient Treatment COMP-025177 LIC-1046789 26-0673397 SITE-00002772 550 Northwest University Boulevard 34986 St. Lucie (561) 578-8600 8/24/2020 Private 0 Yes RegularPort St. Lucie RMP Enterprises LLC Southeast C19 Intensive Outpatient Treatment COMP-025181 LIC-1046789 26-0673397 SITE-00003935 546 NW University Blvd. 34986 St. Lucie (561) 578-8600 9/10/2020 Private 0 Yes RegularPort St. Lucie RMP Enterprises LLC Southeast C19 Outpatient Treatment COMP-025178 LIC-1046790 26-0673397 SITE-00002772 550 Northwest University Boulevard 34986 St. Lucie (561) 578-8600 8/24/2020 Private 0 Yes RegularPort St. Lucie RMP Enterprises LLC Southeast C19 Residential Level 2 COMP-025180 LIC-1046806 26-0673397 SITE-00001660 1091 Bayshore Boulevard 34983 St. Lucie (561) 578-8600 8/24/2020 Private 19 Yes RegularPort St. Lucie RMP Enterprises LLC Southeast C19 Residential Level 5 COMP-025179 LIC-1046805 26-0673397 SITE-00001660 1091 Bayshore Boulevard 34983 St. Lucie (561) 578-8600 8/24/2020 Private 19 Yes Regular

Source: PLADS Page 71 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Port St. Lucie Second Chance Mental Health Center, LLC

Southeast C19 Intensive Outpatient Treatment COMP-026242 LIC-1045099 27-3374222 SITE-00003801 1541 SE Port St. Lucie Boulevard, Suite F 34952 St. Lucie (772) 335-0166 1/26/2021 Private 0 Yes Regular

Port St. Lucie SequelCare of Florida, LLC Central C19 Outpatient Treatment COMP-024885 LIC-1047262 90-0341538 SITE-00005180 567 NW Lake Whitney Place 34986 St. Lucie (727) 547-0607 7/14/2020 Private 0 No RegularPort St. Lucie The Chrysalis Center, Inc. d/b/a

Chrysalis HealthSoutheast C19 Outpatient Treatment COMP-025291 LIC-1046519 20-1966531 SITE-00004335 7410 South US HWY-1 34952 St. Lucie (954) 587-1008 9/30/2020 Public 0 Yes Regular

Port St. Lucie Treasure Coast Counseling Center, Inc. Southeast C19 Intensive Outpatient Treatment COMP-023668 LIC-1045601 27-2280913 SITE-00000912 1680 Lyngate Drive 34952 St. Lucie (772) 335-9808 4/18/2020 Private 0 No Regular

Port St. Lucie Treasure Coast Counseling Center, Inc. Southeast C19 Outpatient Treatment COMP-023531 LIC-1045600 27-2280913 SITE-00000912 1680 Lyngate Drive 34952 St. Lucie (772) 335-9808 4/18/2020 Private 0 No Regular

Port St. Lucie Unity Behavioral Health LLC Southeast C19 Inpatient Detoxification COMP-025335 LIC-1046559 81-3924024 SITE-00003688 710 SW Port St. Lucie Blvd. 34953 St. Lucie (561) 596-8073 5/7/2020 Private 16 Yes RegularPT CHARLOTTE Charlotte Alliance for a Safe and Drug

Free Community, Inc.Suncoast C20 Level 1 Prevention COMP-023065 LIC-1045264 02-0683619 SITE-00000586 1445 EDUCATION WAY 33948-

1052Charlotte (941) 255-0808 3/10/2020 Public 0 No Regular

PT CHARLOTTE Charlotte Alliance for a Safe and Drug Free Community, Inc.

Suncoast C20 Level 2 Prevention COMP-022900 LIC-1045265 02-0683619 SITE-00000586 1445 EDUCATION WAY 33948-1052

Charlotte (941) 255-0808 3/10/2020 Private 0 No Regular

PT CHARLOTTE Charlotte Behavioral Health Care, Inc Suncoast C20 Outpatient Treatment COMP-025285 LIC-1045886 59-1234922 SITE-00003512 1032 TAMIAMI TRL 33953-3802

Charlotte (941) 639-8300 10/30/2020 Public 0 Yes Regular

PT CHARLOTTE Hanley Center Foundation Inc Suncoast C20 Level 1 Prevention COMP-024539 LIC-1045481 20-2871945 SITE-00000281 1445 EDUCATION WAY 33948-1052

Charlotte (561) 268-2350 6/30/2020 Public 0 Yes Regular

PT CHARLOTTE Hanley Center Foundation Inc Suncoast C20 Level 2 Prevention COMP-024434 LIC-1046849 20-2871945 SITE-00000281 1445 EDUCATION WAY 33948-1052

Charlotte (561) 268-2350 6/30/2020 Public 0 Yes Regular

PT CHARLOTTE Operation PAR, Inc. Suncoast C20 Satellite Maintenance COMP-025365 LIC-1046667 59-1349234 SITE-00000304 946 TAMIAMI TRL 33953-3108

Charlotte (727) 545-7564 12/1/2020 Public 0 Yes Regular

Punta Gorda Charlotte Behavioral Health Care, Inc Suncoast C20 Addictions Receiving Facility COMP-025516 LIC-1046826 59-1234922 SITE-00004275 1700-C Education Avenue 33950 Charlotte (941) 639-8300 10/30/2020 Public 30 Yes Regular

PUNTA GORDA Charlotte Behavioral Health Care, Inc Suncoast C20 Case Management COMP-025283 LIC-1046564 59-1234922 SITE-00000135 1700 EDUCATION AVE 33950-6222

Charlotte (941) 639-8300 10/30/2020 Public 0 Yes Regular

Punta Gorda Charlotte Behavioral Health Care, Inc Suncoast C20 Inpatient Detoxification COMP-025513 LIC-1046563 59-1234922 SITE-00004899 1740 Education Ave. 33950 Charlotte (941) 639-8300 10/30/2020 Public 5 Yes Regular

PUNTA GORDA Charlotte Behavioral Health Care, Inc Suncoast C20 Outpatient Treatment COMP-025282 LIC-1045886 59-1234922 SITE-00000135 1700 EDUCATION AVE 33950-6222

Charlotte (941) 639-8300 10/30/2020 Public 0 Yes Regular

Punta Gorda Charlotte Behavioral Health Care, Inc Suncoast C20 Residential Level 1 COMP-025284 LIC-1046669 59-1234922 SITE-00004899 1740 Education Ave. 33950 Charlotte (941) 639-8300 10/30/2020 Public 10 Yes Regular

Punta Gorda Coastal Behavioral Healthcare,Inc. Suncoast C20 Residential Level 2 COMP-024107 LIC-1046029 59-1432136 SITE-00002804 2208 Castillo Avenue 33950 Charlotte (941) 927-8900 6/29/2020 Public 25 Yes RegularPunta Gorda GEO Reentry Services, LLC. Suncoast C20 Intensive Outpatient Treatment COMP-026227 LIC-1045773 46-1260559 SITE-00005306 33123 Oil Well Road 33955 Charlotte (561) 285-6346 3/19/2020 Private 0 No ProbationaryPunta Gorda GEO Reentry Services, LLC. Suncoast C20 Level 1 Prevention COMP-026225 LIC-1045772 46-1260559 SITE-00005306 33123 Oil Well Road 33955 Charlotte (561) 285-6346 3/19/2020 Public 0 No ProbationaryPunta Gorda GEO Reentry Services, LLC. Suncoast C20 Outpatient Treatment COMP-026226 LIC-1046417 46-1260559 SITE-00005306 33123 Oil Well Road 33955 Charlotte (561) 285-6346 3/19/2020 Private 0 No ProbationaryQuincy Apalachee Center, Inc. Northwest C02 Case Management COMP-024160 LIC-1046109 59-1162148 SITE-00001481 79 Lasalle Path 32351 Gadsden (850) 523-3333 5/12/2020 Private 0 Yes RegularQuincy Apalachee Center, Inc. Northwest C02 Outpatient Treatment COMP-024158 LIC-1046114 59-1162148 SITE-00001481 79 Lasalle Path 32351 Gadsden (850) 523-3333 5/12/2020 Public 0 Yes RegularQuincy Avalon Treatment Centers, Inc. Northwest C02 Outpatient Treatment COMP-026123 LIC-1046809 37-1840060 SITE-00005299 1605 Florida Ave 32351 Gadsden (850) 727-8738 7/23/2020 Public 0 No RegularQUINCY DISC Village, Inc. Northwest C02 General Intervention COMP-026561 LIC-1045403 59-1491338 SITE-00001555 305 W CRAWFORD ST 32351-

3121Gadsden (850) 575-4388 2/28/2021 Public 0 Yes Regular

QUINCY DISC Village, Inc. Northwest C02 Outpatient Treatment COMP-026562 LIC-1045404 59-1491338 SITE-00001555 305 W CRAWFORD ST 32351-3121

Gadsden (850) 575-4388 2/28/2021 Public 0 Yes Regular

Quincy Management and Training Corporation Northwest C02 Residential Level 2 COMP-025218 LIC-1046835 87-0365322 SITE-00003393 6044 Greensboro Hwy. 32351 Gadsden (850) 875-9701 10/5/2020 Public 68 No Regular

Quincy Redeemed, Inc. Northwest C02 Aftercare COMP-024027 LIC-1046504 59-3500491 SITE-00001631 2127 Pat Thomas Parkway 32351 Gadsden (850) 627-0251 3/22/2020 Public 0 No RegularQuincy Redeemed, Inc. Northwest C02 Outpatient Treatment COMP-024026 LIC-1047147 59-3500491 SITE-00001631 2127 Pat Thomas Parkway 32351 Gadsden (850) 627-0251 3/21/2020 Public 0 No RegularRaiford Department of Corrections, Bureau of

Substance Abuse Program ServicesNortheast C08 Level 1 Prevention COMP-025994 LIC-1045536 59-2869774 SITE-00003806 23916 NW 83rd Ave 32083 Union (850) 717-3060 10/13/2020 Public 0 No Regular

Source: PLADS Page 72 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Raiford Youth Opportunity Investments LLC Northeast C08 Outpatient Treatment COMP-025696 LIC-1045556 27-0972875 SITE-00005235 14692 County Road 199 32083 Union (727) 800-3511 x41102

4/1/2020 Public 0 No Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Day or Night Treatment COMP-025391 LIC-1046677 47-3780640 SITE-00001475 12012 BOYETTE RD 33569-5631

Hillsborough

(813) 605-3900 10/13/2020 Private 0 Yes Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Inpatient Detoxification COMP-025388 LIC-1046679 47-3780640 SITE-00001475 12012 BOYETTE RD 33569-5631

Hillsborough

(813) 605-3900 10/13/2020 Private 48 Yes Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Intensive Inpatient Treatment COMP-025386 LIC-1046678 47-3780640 SITE-00001475 12012 BOYETTE RD 33569-5631

Hillsborough

(813) 605-3900 10/13/2020 Private 2 Yes Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Intensive Outpatient Treatment COMP-025392 LIC-1046680 47-3780640 SITE-00001475 12012 BOYETTE RD 33569-5631

Hillsborough

(813) 605-3900 10/13/2020 Private 0 Yes Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Residential Level 1 COMP-025389 LIC-1046681 47-3780640 SITE-00001475 12012 BOYETTE RD 33569-5631

Hillsborough

(813) 605-3900 10/13/2020 Private 36 Yes Regular

RIVERVIEW River Oaks Treatment Center, LLC Suncoast C13 Residential Level 5 COMP-025385 LIC-1046682 47-3780640 SITE-00002111 12018 BOYETTE RD 33569 Hillsborough

(813) 605-3900 10/13/2020 Private 76 Yes Regular

RIVIERA BEACH Ambrosia of the Palm Beaches, LLC Southeast C15 Intensive Outpatient Treatment COMP-025226 LIC-1046784 26-3767900 SITE-00000039 2625 WEST WAY 33404-3833

Palm Beach

(561) 578-8600 8/24/2020 Private 0 Yes Regular

RIVIERA BEACH Ambrosia of the Palm Beaches, LLC Southeast C15 Residential Level 2 COMP-025687 LIC-1046782 26-3767900 SITE-00000039 2625 WEST WAY 33404-3833

Palm Beach

(561) 578-8600 8/24/2020 Private 4 Yes Regular

Riviera Beach Ambrosia of the Palm Beaches, LLC Southeast C15 Residential Level 2 COMP-025228 LIC-1046782 26-3767900 SITE-00003205 2637 West Way 33404 Palm Beach

(561) 578-8600 8/24/2020 Private 10 Yes Regular

RIVIERA BEACH Ambrosia of the Palm Beaches, LLC Southeast C15 Residential Level 5 COMP-025224 LIC-1046781 26-3767900 SITE-00004019 2675 LAKE DR 33404-3813

Palm Beach

(561) 578-8600 8/24/2020 Private 20 Yes Regular

RIVIERA BEACH Changes Wellness Center LLC Southeast C15 Day or Night Treatment COMP-024740 LIC-1045077 42-1615117 SITE-00001095 31 W 20TH ST 33404-6155

Palm Beach

(561) 899-9140 8/27/2020 Private 0 Yes Regular

RIVIERA BEACH Changes Wellness Center LLC Southeast C15 Intensive Outpatient Treatment COMP-024741 LIC-1045075 42-1615117 SITE-00001095 31 W 20TH ST 33404-6155

Palm Beach

(561) 899-9140 8/27/2020 Private 0 Yes Regular

RIVIERA BEACH Changes Wellness Center LLC Southeast C15 Outpatient Treatment COMP-024742 LIC-1045076 42-1615117 SITE-00001095 31 W 20TH ST 33404-6155

Palm Beach

(561) 899-9140 8/27/2020 Private 0 Yes Regular

RIVIERA BEACH Housing Partnership, Inc. Southeast C15 Aftercare COMP-025216 LIC-1045069 59-2704597 SITE-00001327 2001 W BLUE HERON BLVD 33404-5003

Palm Beach

(561) 841-3500 10/2/2020 Public 0 No Regular

RIVIERA BEACH Housing Partnership, Inc. Southeast C15 Case Management COMP-025215 LIC-1045068 59-2704597 SITE-00001327 2001 W BLUE HERON BLVD 33404-5003

Palm Beach

(561) 841-3500 10/2/2020 Public 0 No Regular

RIVIERA BEACH Housing Partnership, Inc. Southeast C15 Day or Night Treatment COMP-025213 LIC-1045071 59-2704597 SITE-00001327 2001 W BLUE HERON BLVD 33404-5003

Palm Beach

(561) 841-3500 10/2/2020 Public 0 No Regular

RIVIERA BEACH Housing Partnership, Inc. Southeast C15 Outpatient Treatment COMP-025214 LIC-1045072 59-2704597 SITE-00001327 2001 W BLUE HERON BLVD 33404-5003

Palm Beach

(561) 841-3500 10/2/2020 Public 0 No Regular

Riviera Beach MILESTONE HARBOR INCORPORATED Southeast C15 Intensive Outpatient Treatment COMP-024876 LIC-1047144 81-4531791 SITE-00004880 441 WEST BLUE HERON BLVD 33404 Palm Beach

(561) 818-5780 6/2/2020 Private 0 No Regular

Riviera Beach MILESTONE HARBOR INCORPORATED Southeast C15 Outpatient Treatment COMP-024880 LIC-1047143 81-4531791 SITE-00004880 441 WEST BLUE HERON BLVD 33404 Palm Beach

(561) 818-5780 6/2/2020 Private 0 No Regular

Riviera Beach URP Detox, LLC Southeast C15 Inpatient Detoxification COMP-024684 LIC-1046269 82-4158767 SITE-00004696 45 West 17th Street 33404 Palm Beach

(954) 997-7248 7/11/2020 Private 13 Yes Regular

Riviera Beach URP Detox, LLC Southeast C15 Residential Level 1 COMP-024683 LIC-1046268 82-4158767 SITE-00004696 45 West 17th Street 33404 Palm Beach

(954) 997-7248 7/11/2020 Private 7 Yes Regular

Rockledge Circles of Care, Inc. Central C18 Outpatient Treatment COMP-023959 LIC-1046227 59-1101553 SITE-00004700 1770 Cedar Street 32955 Brevard (321) 984-4900 6/27/2020 Public 0 Yes RegularRockledge Circles of Care, Inc. Central C18 Residential Level 2 COMP-025142 LIC-1047011 59-1101553 SITE-00004950 B1770 Cedar Street 32955 Brevard (321) 984-4900 6/27/2020 Public 10 Yes RegularRockledge Eckerd Youth Alternatives, Inc. Central C18 Case Management COMP-023253 LIC-1046110 59-2551416 SITE-00002609 4095 Hwy US 1, Suite A 32955 Brevard (727) 461-2990 4/4/2020 Public 0 Yes RegularRockledge Eckerd Youth Alternatives, Inc. Central C18 General Intervention COMP-023252 LIC-1046111 59-2551416 SITE-00002609 4095 Hwy US 1, Suite A 32955 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularSAINT CLOUD Oglethorpe of St. Cloud LLC d/b/a

Blackberry Recovery CenterCentral C09 Day or Night Treatment with

Community HousingCOMP-026000 LIC-1045367 46-3775815 SITE-00003090 81 BEEHIVE CIR # 87 34769-

1432Osceola (386) 337-7957 11/28/2020 Private 0 Yes Regular

Source: PLADS Page 73 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

SAINT CLOUD Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Central C09 Inpatient Detoxification COMP-025998 LIC-1045365 46-3775815 SITE-00003090 81 BEEHIVE CIR # 87 34769-1432

Osceola (386) 337-7957 11/28/2020 Private 15 Yes Regular

SAINT CLOUD Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Central C09 Intensive Outpatient Treatment COMP-026001 LIC-1045366 46-3775815 SITE-00003090 81 BEEHIVE CIR # 87 34769-1432

Osceola (386) 337-7957 11/28/2020 Private 0 Yes Regular

SAINT CLOUD Oglethorpe of St. Cloud LLC d/b/a Blackberry Recovery Center

Central C09 Residential Level 1 COMP-025999 LIC-1045368 46-3775815 SITE-00003090 81 BEEHIVE CIR # 87 34769-1432

Osceola (386) 337-7957 11/28/2020 Private 45 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Day or Night Treatment COMP-025403 LIC-1047006 59-3208913 SITE-00001990 3113 INNOVATION DR # 3115 34769-6501

Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Day or Night Treatment with Community Housing

COMP-025413 LIC-1046759 59-3208913 SITE-00002104 3800 5TH ST 34769-2024

Osceola (407) 892-5700 9/30/2020 Private 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 General Intervention COMP-025427 LIC-1046761 59-3208913 SITE-00001990 3113 INNOVATION DR # 3115 34769-6501

Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 General Intervention COMP-025425 LIC-1046761 59-3208913 SITE-00002104 3800 5TH ST 34769-2024

Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Intensive Outpatient Treatment COMP-025404 LIC-1047007 59-3208913 SITE-00001990 3113 INNOVATION DR # 3115 34769-6501

Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Outpatient Treatment COMP-025423 LIC-1045129 59-3208913 SITE-00001990 3113 INNOVATION DR # 3115 34769-6501

Osceola (407) 892-5700 9/30/2020 Public 0 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Residential Level 2 COMP-025415 LIC-1045898 59-3208913 SITE-00002104 3800 5TH ST 34769-2024

Osceola (407) 892-5700 9/30/2020 Public 50 Yes Regular

SAINT CLOUD Transition House, Inc. Central C09 Residential Level 4 COMP-025414 LIC-1046760 59-3208913 SITE-00002104 3800 5TH ST 34769-2024

Osceola (407) 892-5700 9/30/2020 Private 45 Yes Regular

San Antonio Camelot Community Care, Inc. Suncoast C06 Outpatient Treatment COMP-024185 LIC-1047152 31-1659302 SITE-00004892 28534 State Road 52 33576 Pasco (727) 593-0003 4/1/2020 Public 0 Yes RegularSanderson Gateway Foundation, Inc. Northeast C08 Intensive Outpatient Treatment COMP-024677 LIC-1046307 36-2670036 SITE-00004807 20706 US Highway 90 West 32087-

2359Baker (312) 663-1130 5/11/2020 Public 0 No Regular

Sanderson Gateway Foundation, Inc. Northeast C08 Level 1 Prevention COMP-024678 LIC-1046478 36-2670036 SITE-00004811 17128 US Highway 90 West 32087 Baker (312) 663-1130 5/11/2020 Public 0 No RegularSanderson Gateway Foundation, Inc. Northeast C08 Outpatient Treatment COMP-024676 LIC-1046306 36-2670036 SITE-00004807 20706 US Highway 90 West 32087-

2359Baker (312) 663-1130 5/11/2020 Public 0 No Regular

Sanford Aspire Health Partners, Inc. Central C18 Inpatient Detoxification COMP-023708 LIC-1045871 59-2301233 SITE-00000934 919 E. 2nd Street 32771 Seminole (407) 875-3700 5/23/2020 Public 5 Yes RegularSanford Aspire Health Partners, Inc. Central C18 Residential Level 2 COMP-023707 LIC-1045870 59-2301233 SITE-00000934 919 E. 2nd Street 32771 Seminole (407) 875-3700 5/23/2020 Public 36 Yes RegularSarasota Centerpointe Counseling and Recovery

of Sarasota, LLCSuncoast C12 Intensive Outpatient Treatment COMP-023867 LIC-1045945 46-3221369 SITE-00001813 5632 Bee Ridge Road 34292 Sarasota (941) 488-4811 6/3/2020 Private 0 No Regular

Sarasota Centerstone of Florida, Inc. Suncoast C12 Outpatient Treatment COMP-024799 LIC-1046209 59-1009537 SITE-00003479 4010 Sawyer Road 34233 Sarasota (941) 782-4710 7/28/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Case Management COMP-024113 LIC-1046058 59-1432136 SITE-00002800 1451 10th Street 34236 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Case Management COMP-024104 LIC-1046058 59-1432136 SITE-00003865 1750 17th Street 34234 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Level 1 Prevention COMP-023989 LIC-1046059 59-1432136 SITE-00003865 1750 17th Street 34234 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Level 2 Prevention COMP-024105 LIC-1046063 59-1432136 SITE-00003865 1750 17th Street 34234 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Outpatient Treatment COMP-024109 LIC-1046060 59-1432136 SITE-00002800 1451 10th Street 34236 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSarasota Coastal Behavioral Healthcare,Inc. Suncoast C12 Outpatient Treatment COMP-024103 LIC-1046060 59-1432136 SITE-00003865 1750 17th Street 34234 Sarasota (941) 927-8900 6/29/2020 Public 0 Yes RegularSARASOTA First Step of Sarasota, Inc. Suncoast C12 Addictions Receiving Facility COMP-024298 LIC-1046099 59-1304472 SITE-00001047 1726 18TH ST, Building A & B 34234-

8604Sarasota (941) 366-5333 6/30/2020 Public 30 Yes Regular

Sarasota First Step of Sarasota, Inc. Suncoast C12 Aftercare COMP-024166 LIC-1046101 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Aftercare COMP-024088 LIC-1046101 59-1304472 SITE-00002027 1144 Tallevast Road 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Case Management COMP-025140 LIC-1047263 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSARASOTA First Step of Sarasota, Inc. Suncoast C12 Day or Night Treatment COMP-024294 LIC-1046088 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-

2132Sarasota (941) 366-5333 6/30/2020 Private 0 Yes Regular

SARASOTA First Step of Sarasota, Inc. Suncoast C12 Day or Night Treatment COMP-024082 LIC-1046088 59-1304472 SITE-00001067 1400 10TH ST 34236-4040

Sarasota (941) 366-5333 6/30/2020 Public 0 Yes Regular

Sarasota First Step of Sarasota, Inc. Suncoast C12 General Intervention COMP-024164 LIC-1046089 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 General Intervention COMP-024168 LIC-1046089 59-1304472 SITE-00004731 1750 17th St 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Intensive Outpatient Treatment COMP-024163 LIC-1046100 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes Regular

Source: PLADS Page 74 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

SARASOTA First Step of Sarasota, Inc. Suncoast C12 Intensive Outpatient Treatment COMP-024295 LIC-1046100 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-2132

Sarasota (941) 366-5333 6/30/2020 Private 0 Yes Regular

Sarasota First Step of Sarasota, Inc. Suncoast C12 Level 1 Prevention COMP-024165 LIC-1046087 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024162 LIC-1046090 59-1304472 SITE-00001003 1750 17th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024087 LIC-1046090 59-1304472 SITE-00002027 1144 Tallevast Road 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024086 LIC-1046090 59-1304472 SITE-00003407 1751 Mound Street 34236 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSarasota First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024167 LIC-1046090 59-1304472 SITE-00004731 1750 17th St 34234 Sarasota (941) 366-5333 6/30/2020 Public 0 Yes RegularSARASOTA First Step of Sarasota, Inc. Suncoast C12 Residential Level 1 COMP-024291 LIC-1046097 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-

2132Sarasota (941) 366-5333 6/30/2020 Public 35 Yes Regular

SARASOTA First Step of Sarasota, Inc. Suncoast C12 Residential Level 2 COMP-024292 LIC-1046098 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-2132

Sarasota (941) 366-5333 6/30/2020 Public 25 Yes Regular

SARASOTA First Step of Sarasota, Inc. Suncoast C12 Residential Level 2 COMP-024297 LIC-1046098 59-1304472 SITE-00001047 1726 18TH ST, Building A & B 34234-8604

Sarasota (941) 366-5333 6/30/2020 Public 26 Yes Regular

Sarasota First Step of Sarasota, Inc. Suncoast C12 Residential Level 2 COMP-024299 LIC-1046098 59-1304472 SITE-00004733 1726 18th Street 34234 Sarasota (941) 366-5333 6/30/2020 Public 52 Yes RegularSARASOTA First Step of Sarasota, Inc. Suncoast C12 Residential Level 3 COMP-024293 LIC-1046104 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-

2132Sarasota (941) 366-5333 6/30/2020 Public 18 Yes Regular

SARASOTA First Step of Sarasota, Inc. Suncoast C12 Residential Level 4 COMP-024296 LIC-1046103 59-1304472 SITE-00001042 4613 N WASHINGTON BLVD 34234-2132

Sarasota (941) 366-5333 6/30/2020 Public 30 Yes Regular

Sarasota Jewish Family & Children's Service of the Suncoast, Inc.

Suncoast C12 Level 1 Prevention COMP-023818 LIC-1045544 59-2693318 SITE-00000520 2688 Fruitville Rd 34237 Sarasota (941) 366-2224 3/27/2020 Public 0 Yes Regular

Sarasota Jewish Family & Children's Service of the Suncoast, Inc.

Suncoast C12 Level 1 Prevention COMP-023903 LIC-1045544 59-2693318 SITE-00002239 1753 Ringling Boulevard 34236 Sarasota (941) 366-2224 3/27/2020 Public 0 Yes Regular

Sarasota Jewish Family & Children's Service of the Suncoast, Inc.

Suncoast C12 Outpatient Treatment COMP-023819 LIC-1045543 59-2693318 SITE-00000520 2688 Fruitville Rd 34237 Sarasota (941) 366-2224 3/27/2020 Public 0 Yes Regular

Sarasota Jewish Family & Children's Service of the Suncoast, Inc.

Suncoast C12 Outpatient Treatment COMP-023904 LIC-1045543 59-2693318 SITE-00002239 1753 Ringling Boulevard 34236 Sarasota (941) 366-2224 3/27/2020 Public 0 Yes Regular

Sarasota Metro Treatment of Florida, LP Suncoast C12 Medication And Methadone Maintenance Treatment

COMP-024775 LIC-1045386 58-2341219 SITE-00004855 5951 Clark Center Avenue 34238 Sarasota (407) 351-7080 8/3/2020 Private 0 Yes Regular

SARASOTA Operation PAR, Inc. Suncoast C12 Medication and Methadone Maintenance Treatment

COMP-025384 LIC-1046664 59-1349234 SITE-00001187 6124 S TAMIAMI TRL 34231-4029

Sarasota (727) 545-7564 12/1/2020 Public 0 Yes Regular

SARASOTA Operation PAR, Inc. Suncoast C12 Outpatient Methadone Detoxification COMP-025383 LIC-1046665 59-1349234 SITE-00001187 6124 S TAMIAMI TRL 34231-4029

Sarasota (727) 545-7564 12/1/2020 Public 0 Yes Regular

Sarasota Siesta Addictions Specialists Suncoast C12 Intensive Outpatient Treatment COMP-026410 LIC-1047086 82-3895573 SITE-00004645 715 N. Washington Blvd. 34236 Sarasota (706) 207-2714 1/15/2021 Private 0 Yes RegularSarasota Siesta Addictions Specialists Suncoast C12 Outpatient Treatment COMP-026666 LIC-1047332 82-3895573 SITE-00004645 715 N. Washington Blvd. 34236 Sarasota (706) 207-2714 1/15/2021 Private 0 No RegularSarasota White Sands Treatment Center Tampa,

LLCSuncoast C12 Intensive Outpatient Treatment COMP-026771 LIC-1045400 81-3488022 SITE-00004922 7632 Lockwood Ridge Road 34243 Sarasota (813) 756-5660 3/6/2020 Private 0 Yes Regular

Sarasota White Sands Treatment Center Tampa, LLC

Suncoast C12 Intensive Outpatient Treatment COMP-027241 LIC-1045400 81-3488022 SITE-00004922 7632 Lockwood Ridge Road 34243 Sarasota (813) 756-5660 11/3/2020 Private 0 Yes Regular

Sarasota White Sands Treatment Center Tampa, LLC

Suncoast C12 Outpatient Treatment COMP-026073 LIC-1046607 81-3488022 SITE-00004922 7632 Lockwood Ridge Road 34243 Sarasota (813) 756-5660 3/6/2020 Private 0 Yes Regular

Sarasota White Sands Treatment Center Tampa, LLC

Suncoast C12 Outpatient Treatment COMP-026740 LIC-1046607 81-3488022 SITE-00004922 7632 Lockwood Ridge Road 34243 Sarasota (813) 756-5660 11/3/2020 Private 0 Yes Regular

SATELLITE BCH Progressive Counseling Centers, Inc., d/b/a Brevard Outpatient Alternative Treatment

Central C18 Outpatient Treatment COMP-025333 LIC-1046837 59-3618413 SITE-00003917 1227 SOUTH PATRICK DR 32937-3969

Brevard (321) 773-1111 10/11/2020 Private 0 No Regular

Sebastian Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-025791 LIC-1045210 20-4128112 SITE-00004378 1623 US Highway 1 34958 Indian River

(772) 286-8933 10/20/2020 Private 0 No Regular

Sebastian Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-025790 LIC-1046746 20-4128112 SITE-00004378 1623 US Highway 1 34958 Indian River

(772) 286-8933 10/20/2020 Private 0 No Regular

SEBRING Center for Jewish Addiction Rehabilitation

Central C10 Residential Level 2 COMP-025853 LIC-1046959 47-5206965 SITE-00003986 6549 RAJOL DR 33875-5598

Highlands (631) 681-8066 11/29/2020 Private 6 No Regular

Source: PLADS Page 75 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Sebring Halcyon Management Group, Inc. Central C10 Outpatient Treatment COMP-025663 LIC-1046472 46-2922097 SITE-00003722 201 N. Franklin St. 33870 Highlands (941) 255-5900 9/9/2020 Public 0 No Regular

Sebring Sebring ACOP, LLC Central C10 Day or Night Treatment COMP-024902 LIC-1046186 46-5485045 SITE-00001416 1062 Lake Sebring Drive 33870 Highlands (754) 300-3120 x4000

8/16/2020 Private 0 Yes Regular

Sebring Sebring ACOP, LLC Central C10 Inpatient Detoxification COMP-024904 LIC-1046188 46-5485045 SITE-00001416 1062 Lake Sebring Drive 33870 Highlands (754) 300-3120 x4000

8/16/2020 Private 10 Yes Regular

Sebring Sebring ACOP, LLC Central C10 Intensive Inpatient Treatment COMP-024905 LIC-1046189 46-5485045 SITE-00001416 1062 Lake Sebring Drive 33870 Highlands (754) 300-3120 x4000

8/16/2020 Private 10 Yes Regular

Sebring Sebring ACOP, LLC Central C10 Intensive Outpatient Treatment COMP-024903 LIC-1046187 46-5485045 SITE-00001416 1062 Lake Sebring Drive 33870 Highlands (754) 300-3120 x4000

8/16/2020 Private 0 Yes Regular

Sebring Sebring ACOP, LLC Central C10 Residential Level 1 COMP-024901 LIC-1046190 46-5485045 SITE-00001416 1062 Lake Sebring Drive 33870 Highlands (754) 300-3120 x4000

8/16/2020 Private 20 Yes Regular

SEBRING Tri-County Human Services, Inc. Central C10 Aftercare COMP-025512 LIC-1046570 59-1708182 SITE-00002863 434 N FERNLEAF AVE 33870-3720

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

SEBRING Tri-County Human Services, Inc. Central C10 Case Management COMP-025492 LIC-1046576 59-1708182 SITE-00003489 1968 SEBRING PKWY 33870-1654

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

SEBRING Tri-County Human Services, Inc. Central C10 Level 1 Prevention COMP-025478 LIC-1046587 59-1708182 SITE-00003499 501 LEMON AVE 33870-3545

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

SEBRING Tri-County Human Services, Inc. Central C10 Level 2 Prevention COMP-025485 LIC-1046578 59-1708182 SITE-00003499 501 LEMON AVE 33870-3545

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

SEBRING Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025511 LIC-1046571 59-1708182 SITE-00002863 434 N FERNLEAF AVE 33870-3720

Highlands (863) 709-9392 9/26/2020 Public 0 Yes Regular

Seminole Boley Centers, Inc. Suncoast C06 General Intervention COMP-023227 LIC-1045553 59-1290089 SITE-00004032 9220 102nd Avenue North 33777 Pinellas (727) 821-4819 5/15/2020 Public 0 Yes RegularShalimar LAKEVIEW CENTER, INC. Northwest C01 Aftercare COMP-026692 LIC-1045249 59-0737872 SITE-00001300 1 Eleventh Avenue 32579 Okaloosa (850) 469-3500 5/6/2020 Public 0 Yes ProbationaryShalimar LAKEVIEW CENTER, INC. Northwest C01 Intensive Outpatient Treatment COMP-023770 LIC-1045620 59-0737872 SITE-00001300 1 Eleventh Avenue 32579 Okaloosa (850) 469-3500 3/29/2020 Public 0 Yes RegularShalimar LAKEVIEW CENTER, INC. Northwest C01 Medication And Methadone

Maintenance TreatmentCOMP-023769 LIC-1045629 59-0737872 SITE-00001300 1 Eleventh Avenue 32579 Okaloosa (850) 469-3500 3/29/2020 Public 0 Yes Regular

Shalimar LAKEVIEW CENTER, INC. Northwest C01 Outpatient Treatment COMP-023771 LIC-1045591 59-0737872 SITE-00001300 1 Eleventh Avenue 32579 Okaloosa (850) 469-3500 3/29/2020 Public 0 Yes RegularSILVER SPGS Guest House Ocala, LLC Central C05 Day or Night Treatment with

Community HousingCOMP-026028 LIC-1045158 81-3450734 SITE-00003349 3230 NE 55TH AVE 34488-

1721Marion (855) 483-7800 12/19/2020 Private 0 Yes Regular

SILVER SPGS Guest House Ocala, LLC Central C05 Inpatient Detoxification COMP-026029 LIC-1045145 81-3450734 SITE-00003349 3230 NE 55TH AVE 34488-1721

Marion (855) 483-7800 12/19/2020 Private 4 Yes Regular

SILVER SPGS Guest House Ocala, LLC Central C05 Outpatient Treatment COMP-025863 LIC-1045185 81-3450734 SITE-00003349 3230 NE 55TH AVE 34488-1721

Marion (855) 483-7800 12/19/2020 Private 0 Yes Regular

SILVER SPGS Guest House Ocala, LLC Central C05 Residential Level 2 COMP-026026 LIC-1045144 81-3450734 SITE-00003349 3230 NE 55TH AVE 34488-1721

Marion (855) 483-7800 12/19/2020 Private 33 Yes Regular

Singer Island Ambrosia of the Palm Beaches, LLC Southeast C15 Day or Night Treatment COMP-025678 LIC-1047290 26-3767900 SITE-00001224 2626 Lake Drive 33404 Palm Beach

(561) 578-8600 8/24/2020 Private 0 Yes Regular

Singer Island Ambrosia of the Palm Beaches, LLC Southeast C15 Intensive Outpatient Treatment COMP-025225 LIC-1046784 26-3767900 SITE-00001224 2626 Lake Drive 33404 Palm Beach

(561) 578-8600 8/24/2020 Private 0 Yes Regular

SOUTH BAY GEO Corrections and Detention, Inc Southeast C15 Level 1 Prevention COMP-026432 LIC-1046820 46-1258100 SITE-00000451 600 US HIGHWAY 27 S 33493-2233

Palm Beach

(863) 946-2420 4/12/2020 Private 0 No Interim

SOUTH BAY GEO Corrections and Detention, Inc Southeast C15 Outpatient Treatment COMP-026431 LIC-1047157 46-1258100 SITE-00000451 600 US HIGHWAY 27 S 33493-2233

Palm Beach

(863) 946-2420 4/12/2020 Private 0 No Interim

SOUTH DAYTONA Oasis Treatment Center Northeast C07 Aftercare COMP-025811 LIC-1046896 20-5429175 SITE-00002233 1635 S RIDGEWOOD AVE 32119-8478

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

SOUTH DAYTONA Oasis Treatment Center Northeast C07 Outpatient Treatment COMP-025808 LIC-1046715 20-5429175 SITE-00002233 1635 S RIDGEWOOD AVE 32119-8478

Volusia (386) 341-1303 12/6/2020 Private 0 No Regular

SOUTH MIAMI Community Health of South Florida, Inc Southern C11 Case Management COMP-026448 LIC-1045350 59-1372690 SITE-00000484 6350 SUNSET DR 33143-4836

Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

Source: PLADS Page 76 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

SOUTH MIAMI Community Health of South Florida, Inc Southern C11 General Intervention COMP-026447 LIC-1045396 59-1372690 SITE-00000484 6350 SUNSET DR 33143-4836

Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

SOUTH MIAMI Community Health of South Florida, Inc Southern C11 Outpatient Treatment COMP-026449 LIC-1045194 59-1372690 SITE-00000484 6350 SUNSET DR 33143-4836

Dade (305) 252-4838 1/31/2021 Public 0 Yes Regular

SOUTH MIAMI Fellowship House Southern C11 Day or Night Treatment COMP-026201 LIC-1045243 59-1466709 SITE-00002201 5711 S DIXIE HWY 33143-3602

Dade (305) 667-1036 12/31/2020 Public 0 Yes Regular

SOUTH MIAMI Fellowship House Southern C11 Outpatient Treatment COMP-026220 LIC-1045244 59-1466709 SITE-00002201 5711 S DIXIE HWY 33143-3602

Dade (305) 667-1036 12/31/2020 Public 0 Yes Regular

South Miami NR Florida Associates, LLC Southern C11 Day or Night Treatment COMP-025028 LIC-1045904 46-2508915 SITE-00005160 5975 Sunset Drive 33143 Dade (561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

South Miami NR Florida Associates, LLC Southern C11 Intensive Outpatient Treatment COMP-025029 LIC-1045908 46-2508915 SITE-00005160 5975 Sunset Drive 33143 Dade (561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

South Miami NR Florida Associates, LLC Southern C11 Outpatient Treatment COMP-025030 LIC-1046068 46-2508915 SITE-00005160 5975 Sunset Drive 33143 Dade (561) 444-3512 x2400

5/8/2020 Private 0 Yes Regular

South Miami South Miami Recovery, Inc. Southern C11 Intensive Outpatient Treatment COMP-023011 LIC-1045638 45-4708815 SITE-00001121 7520 Red Road, Suite E-1 33143 Dade (305) 733-9655 3/4/2020 Private 0 No RegularSouth Miami South Miami Recovery, Inc. Southern C11 Outpatient Treatment COMP-023012 LIC-1045497 45-4708815 SITE-00001121 7520 Red Road, Suite E-1 33143 Dade (305) 733-9655 3/4/2020 Private 0 No RegularSouthwest Ranches Atlantic Recovery Center, LLC Southeast C17 Residential Level 1 COMP-024399 LIC-1046822 47-1388883 SITE-00004864 14320 Mustang Trail 33330 Broward (954) 289-8383 4/24/2020 Private 8 Yes Regular

Southwest Ranches Sun Coast Recovery Ranch LLC Southeast C17 Residential Level 2 COMP-024969 LIC-1046547 82-2843517 SITE-00004614 4801 Hancock Road 33330 Broward (954) 900-3114 7/19/2020 Private 8 Yes Regular

SPRING HILL Operation PAR, Inc. Central C05 Medication and Methadone Maintenance Treatment

COMP-025428 LIC-1046664 59-1349234 SITE-00002372 1245 KASS CIR 34606-4308

Hernando (727) 545-7564 12/1/2020 Public 0 Yes Regular

Spring Hill PACE Center for Girls, Inc. Central C05 Level 1 Prevention COMP-026305 LIC-1045495 59-2414492 SITE-00004688 3139 Dumont Avenue 32202 Hernando (904) 448-8002 6/6/2020 Public 0 No Regular

Spring Hill PACE Center for Girls, Inc. Central C05 Level 2 Prevention COMP-026306 LIC-1045494 59-2414492 SITE-00004688 3139 Dumont Avenue 32202 Hernando (904) 448-8002 6/6/2020 Public 0 No Regular

Spring Hill Spring Hill Wellness, LLC d/b/a Spring Gardens Detox

Central C05 Inpatient Detoxification COMP-024279 LIC-1046203 81-1964125 SITE-00002883 8213 & 8217 Cessna Drive 34606 Hernando (352) 484-1999 6/26/2020 Private 5 Yes Regular

Spring Hill Spring Hill Wellness, LLC d/b/a Spring Gardens Detox

Central C05 Intensive Inpatient Treatment COMP-024277 LIC-1045979 81-1964125 SITE-00002883 8213 & 8217 Cessna Drive 34606 Hernando (352) 484-1999 6/26/2020 Private 2 Yes Regular

Spring Hill Spring Hill Wellness, LLC d/b/a Spring Gardens Detox

Central C05 Residential Level 1 COMP-024278 LIC-1046204 81-1964125 SITE-00002883 8213 & 8217 Cessna Drive 34606 Hernando (352) 484-1999 6/26/2020 Private 15 Yes Regular

ST AUGUSTINE ITM Group Northeast C07 Aftercare COMP-025172 LIC-1046498 01-0554517 SITE-00000179 2600 US HIGHWAY 1 S 32086-6193

St. Johns (352) 379-2829 9/11/2020 Private 0 No Regular

ST AUGUSTINE ITM Group Northeast C07 Outpatient Treatment COMP-025168 LIC-1046499 01-0554517 SITE-00000179 2600 US HIGHWAY 1 S 32086-6193

St. Johns (352) 379-2829 9/11/2020 Private 0 No Regular

ST PETE BEACH Transformations By The Gulf LLC Suncoast C06 Day or Night Treatment with Community Housing

COMP-023397 LIC-1045294 27-4694887 SITE-00000832 7217 GULF BLVD 33706-1952

Pinellas (727) 498-6498 3/17/2020 Private 0 Yes Regular

ST PETE BEACH Transformations By The Gulf LLC Suncoast C06 Intensive Outpatient Treatment COMP-023395 LIC-1045295 27-4694887 SITE-00000832 7217 GULF BLVD 33706-1952

Pinellas (727) 498-6498 3/17/2020 Private 0 Yes Regular

ST PETE BEACH Transformations By The Gulf LLC Suncoast C06 Residential Level 2 COMP-022958 LIC-1045299 27-4694887 SITE-00000832 7217 GULF BLVD 33706-1952

Pinellas (727) 498-6498 3/17/2020 Private 10 Yes Regular

ST PETERSBURG Family Resources, Inc. Suncoast C06 Level 1 Prevention COMP-026221 LIC-1047357 23-7146873 SITE-00003753 3821 5TH AVE N 33713-7547

Pinellas (727) 521-5200 3/18/2020 Public 0 Yes Probationary

ST PETERSBURG Goodwill lndustries-Suncoast, Inc. Suncoast C06 Aftercare COMP-025807 LIC-1046875 59-0718492 SITE-00003240 10596 GANDY BLVD N 33702-1422

Pinellas (727) 523-1423 11/29/2020 Public 0 No Regular

ST PETERSBURG Goodwill lndustries-Suncoast, Inc. Suncoast C06 Outpatient Treatment COMP-025842 LIC-1046876 59-0718492 SITE-00003240 10596 GANDY BLVD N 33702-1422

Pinellas (727) 523-1423 11/29/2020 Public 0 No Regular

ST PETERSBURG Hal Bishop, LCSW, PA Suncoast C06 Outpatient Treatment COMP-025648 LIC-1046630 59-3645499 SITE-00003663 1905 TYRONE BLVD N 33710-4841

Pinellas (727) 347-3284 10/11/2020 Private 0 No Regular

Source: PLADS Page 77 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Case Management COMP-025390 LIC-1046640 59-1349234 SITE-00001689 6720 54TH AVE N 33709-1402

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 General Intervention COMP-025382 LIC-1046651 59-1349234 SITE-00000954 2000 4TH ST S 33705-2718

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 General Intervention COMP-025393 LIC-1046651 59-1349234 SITE-00001689 6720 54TH AVE N 33709-1402

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Level 1 Prevention COMP-025439 LIC-1046662 59-1349234 SITE-00001707 1900 DR MARTIN LUTHER KING JR ST S 33705-2650

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Level 2 Prevention COMP-025380 LIC-1046656 59-1349234 SITE-00001699 6400 54TH AVE N 33709-1602

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Level 2 Prevention COMP-025397 LIC-1046656 59-1349234 SITE-00001721 1930 4TH ST S 33705-2865

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Outpatient Treatment COMP-025381 LIC-1046650 59-1349234 SITE-00000954 2000 4TH ST S 33705-2718

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Outpatient Treatment COMP-025394 LIC-1046650 59-1349234 SITE-00001689 6720 54TH AVE N 33709-1402

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Residential Level 2 COMP-025387 LIC-1046649 59-1349234 SITE-00001689 6720 54TH AVE N 33709-1402

Pinellas (727) 545-7564 12/1/2020 Public 34 Yes Regular

ST PETERSBURG Operation PAR, Inc. Suncoast C06 Satellite Maintenance COMP-025440 LIC-1046667 59-1349234 SITE-00001707 1900 DR MARTIN LUTHER KING JR ST S 33705-2650

Pinellas (727) 545-7564 12/1/2020 Public 0 Yes Regular

ST PETERSBURG Sequel TSI of Florida LLC Suncoast C06 Outpatient Treatment COMP-025632 LIC-1045297 27-1360815 SITE-00002840 3001 26TH AVE S 33712-3306

Pinellas (256) 880-3339 10/25/2020 Public 0 No Regular

ST PETERSBURG The Chrysalis Center, Inc. d/b/a Chrysalis Health

Suncoast C06 Outpatient Treatment COMP-025318 LIC-1046519 20-1966531 SITE-00003649 970 LAKE CARILLON DR 33716-1130

Pinellas (954) 587-1008 10/1/2020 Public 0 Yes Regular

St. Augustine Bridge to Shore Recovery LLC D/B/A The Augustine Recovery Center

Northeast C07 Aftercare COMP-025031 LIC-1046612 46-4555080 SITE-00001424 3930 US 1 South 32086 St. Johns (904) 217-0480 8/2/2020 Private 0 Yes Regular

St. Augustine Bridge to Shore Recovery LLC D/B/A The Augustine Recovery Center

Northeast C07 Day or Night Treatment COMP-025113 LIC-1046613 46-4555080 SITE-00001424 3930 US 1 South 32086 St. Johns (904) 217-0480 8/2/2020 Private 0 Yes Regular

St. Augustine Bridge to Shore Recovery LLC D/B/A The Augustine Recovery Center

Northeast C07 Intensive Outpatient Treatment COMP-025112 LIC-1046610 46-4555080 SITE-00001424 3930 US 1 South 32086 St. Johns (904) 217-0480 8/2/2020 Private 0 Yes Regular

St. Augustine Bridge to Shore Recovery LLC D/B/A The Augustine Recovery Center

Northeast C07 Outpatient Treatment COMP-025111 LIC-1046609 46-4555080 SITE-00001424 3930 US 1 South 32086 St. Johns (904) 217-0480 8/2/2020 Private 0 Yes Regular

St. Augustine Bridge to Shore Recovery LLC D/B/A The Augustine Recovery Center

Northeast C07 Residential Level 2 COMP-025114 LIC-1046611 46-4555080 SITE-00001424 3930 US 1 South 32086 St. Johns (904) 217-0480 8/2/2020 Private 16 Yes Regular

St. Augustine EPIC Community Services, Inc. Northeast C07 Aftercare COMP-026233 LIC-1045373 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Case Management COMP-026250 LIC-1046513 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 General Intervention COMP-026234 LIC-1045370 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Inpatient Detoxification COMP-026236 LIC-1045371 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Public 10 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Level 1 Prevention COMP-026238 LIC-1045317 59-1502582 SITE-00002340 1400 Old Dixie Highway 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Level 1 Prevention COMP-026232 LIC-1045317 59-1502582 SITE-00002348 1 Christopher Street 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Level 2 Prevention COMP-026237 LIC-1045375 59-1502582 SITE-00002340 1400 Old Dixie Highway 32084 St. Johns (904) 829-2273 1/16/2021 Public 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Outpatient Treatment COMP-026235 LIC-1045372 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Private 0 Yes RegularSt. Augustine EPIC Community Services, Inc. Northeast C07 Residential Level 1 COMP-026231 LIC-1045374 59-1502582 SITE-00003259 3574 US 1 South 32084 St. Johns (904) 829-2273 1/16/2021 Public 6 Yes RegularSt. Augustine Metro Treatment of Florida, LP Northeast C07 Medication and Methadone

Maintenance TreatmentCOMP-024776 LIC-1045386 58-2341219 SITE-00001618 3574 US 1 SOUTH 32086 St. Johns (407) 351-7080 8/3/2020 Private 0 Yes Regular

St. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Day or Night Treatment COMP-024985 LIC-1047239 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/3/2020 Private 0 Yes Regular

Source: PLADS Page 78 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

St. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Inpatient Detoxification COMP-024933 LIC-1047240 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/3/2020 Private 10 Yes RegularSt. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Intensive Outpatient Treatment COMP-024987 LIC-1047238 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/3/2020 Private 0 Yes RegularSt. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Residential Level 1 COMP-026208 LIC-1047386 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/29/2020 Private 26 Yes ProbationarySt. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Residential Level 2 COMP-026209 LIC-1047385 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/29/2020 Private 16 Yes ProbationarySt. Augustine Pearl of the Sea Retreat, LLC Northeast C07 Residential Level 3 COMP-024174 LIC-1047070 32-0583713 SITE-00004983 7601 A1A South 32080 St. Johns (617) 909-5283 4/3/2020 Private 26 Yes RegularSt. Augustine Recovery Keys, Inc. Northeast C07 Day or Night Treatment COMP-026590 LIC-1045902 27-0569695 SITE-00002057 1301 S. Plantation Island Drive 32080 St. Johns (904) 342-5965 2/10/2021 Private 0 Yes RegularSt. Augustine Recovery Keys, Inc. Northeast C07 Intensive Outpatient Treatment COMP-026591 LIC-1045797 27-0569695 SITE-00002057 1301 S. Plantation Island Drive 32080 St. Johns (904) 342-5965 2/10/2021 Private 0 Yes RegularSt. Augustine Sequel TSI of Florida LLC Northeast C07 Outpatient Treatment COMP-025627 LIC-1045297 27-1360815 SITE-00001259 4500 Avenue D. 32085 St. Johns (256) 880-3339 10/25/2020 Public 0 No Regular

St. Augustine SMA Healthcare, Inc. Northeast C07 Outpatient Treatment COMP-025951 LIC-1046889 59-0976866 SITE-00000620 200 San Sebastian View 32084 St. Johns (386) 236-1804 11/30/2020 Public 0 Yes Regular

St. Augustine Spencer Recovery Centers Florida, Inc. Northeast C07 Inpatient Detoxification COMP-026514 LIC-1045394 68-0542374 SITE-00001403 189 San Marco Avenue 32084 St. Johns (949) 313-5240 2/19/2021 Private 15 Yes Regular

St. Augustine Spencer Recovery Centers Florida, Inc. Northeast C07 Intensive Outpatient Treatment COMP-026516 LIC-1045575 68-0542374 SITE-00001403 189 San Marco Avenue 32084 St. Johns (949) 313-5240 2/19/2021 Private 0 Yes Regular

St. Augustine Spencer Recovery Centers Florida, Inc. Northeast C07 Residential Level 2 COMP-026515 LIC-1045395 68-0542374 SITE-00001403 189 San Marco Avenue 32084 St. Johns (949) 313-5240 2/19/2021 Private 50 Yes Regular

St. Lucie THE TOLEDO CLINIC, LLC Southeast C19 Inpatient Detoxification COMP-024440 LIC-1045994 47-2009206 SITE-00004708 5481 N.W. EAST TORINO PARKWAY 34986 St. Lucie (772) 919-1422 5/17/2020 Private 10 Yes RegularSt. Lucie THE TOLEDO CLINIC, LLC Southeast C19 Residential Level 2 COMP-024249 LIC-1046028 47-2009206 SITE-00004708 5481 N.W. EAST TORINO PARKWAY 34986 St. Lucie (772) 919-1422 5/17/2020 Private 12 Yes RegularSt. Petersburg Boley Centers, Inc. Suncoast C06 General Intervention COMP-023226 LIC-1045553 59-1290089 SITE-00000688 555 31st. St. S. 33712 Pinellas (727) 821-4819 5/15/2020 Public 0 Yes RegularSt. Petersburg Boley Centers, Inc. Suncoast C06 Outpatient Treatment COMP-023228 LIC-1045554 59-1290089 SITE-00000674 647 34th Ave. S. 33713 Pinellas (727) 821-4819 5/15/2020 Public 0 Yes RegularSt. Petersburg CURAPARR Corporation Suncoast C06 Outpatient Treatment COMP-024049 LIC-1045809 20-0221678 SITE-00004640 3328 49th Street North 33710 Pinellas (813) 944-2215 5/22/2020 Private 0 No RegularSt. Petersburg Help-Us Help-U, Inc. Suncoast C06 Level 1 Prevention COMP-022951 LIC-1045441 27-3648855 SITE-00003998 641 49TH Street N 33710 Pinellas (727) 826-0958 3/7/2020 Public 0 No RegularSt. Petersburg Metropolitan Charities, Inc. Suncoast C06 Level 2 Prevention COMP-024959 LIC-1046338 59-3153947 SITE-00001086 3251 3rd Avenue North 33713 Pinellas (727) 321-3854 8/8/2020 Public 0 No RegularSt. Petersburg Metropolitan Charities, Inc. Suncoast C06 Outpatient Treatment COMP-024949 LIC-1046339 59-3153947 SITE-00001086 3251 3rd Avenue North 33713 Pinellas (727) 321-3854 8/8/2020 Public 0 No RegularSt. Petersburg Pinellas Ex-Offender Re-Entry Coalition,

Inc.Suncoast C06 Outpatient Treatment COMP-023460 LIC-1045379 59-3643636 SITE-00001136 1601 16th Street South 33762 Pinellas (855) 505-7372 3/30/2020 Private 0 No Regular

St. Petersburg Suncoast Center, Inc. Suncoast C06 Outpatient Treatment COMP-025201 LIC-1046527 59-2092717 SITE-00001433 4024 Central Avenue 33711 Pinellas (727) 327-7656 9/17/2020 Public 0 Yes RegularSt. Petersburg Suncoast Center, Inc. Suncoast C06 Outpatient Treatment COMP-025174 LIC-1046527 59-2092717 SITE-00001441 4010 Central Avenue 33711 Pinellas (727) 327-7656 9/18/2020 Public 0 Yes RegularSt. Petersburg Wayne A. Grosnick and Associates, PA Suncoast C06 Aftercare COMP-024081 LIC-1045541 59-3538238 SITE-00002790 3880 5th Avenue North 33713 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

St. Petersburg Wayne A. Grosnick and Associates, PA Suncoast C06 General Intervention COMP-023547 LIC-1046199 59-3538238 SITE-00002790 3880 5th Avenue North 33713 Pinellas (727) 586-6942 4/15/2020 Private 0 No Regular

St. Petersburg Wayne A. Grosnick and Associates, PA Suncoast C06 Outpatient Treatment COMP-023549 LIC-1045542 59-3538238 SITE-00002790 3880 5th Avenue North 33713 Pinellas (727) 586-6942 4/15/2020 Public 0 No Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Aftercare COMP-024501 LIC-1045835 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/15/2020 Public 0 No Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Case Management COMP-024497 LIC-1045832 59-3714627 SITE-00001227 1801 Fifth Avenue North 33713 Pinellas (727) 490-6767 7/15/2020 Public 0 No RegularSt. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 General Intervention COMP-024496 LIC-1045831 59-3714627 SITE-00001227 1801 Fifth Avenue North 33713 Pinellas (727) 490-6767 7/15/2020 Public 0 No RegularSt. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Level 1 Prevention COMP-024504 LIC-1045842 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/14/2020 Public 0 Yes Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Level 2 Prevention COMP-024503 LIC-1045841 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/15/2020 Public 0 Yes Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Outpatient Treatment COMP-024502 LIC-1045836 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/15/2020 Public 0 Yes Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Residential Level 2 COMP-024505 LIC-1045840 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/15/2020 Public 222 No Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Residential Level 5 COMP-024506 LIC-1045830 59-3714627 SITE-00000466 1735 Dr. Martin Luther King Jr. Street South 33705 Pinellas (727) 490-6767 7/15/2020 Public 44 No Regular

St. Petersburg WestCare Gulfcoast-Florida, Inc. Suncoast C06 Residential Level 5 COMP-024500 LIC-1045830 59-3714627 SITE-00001216 2510 Central Avenue 33712 Pinellas (727) 490-6767 7/15/2020 Public 62 No Regular

Source: PLADS Page 79 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

St. Petersburg White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-025730 LIC-1046607 81-3488022 SITE-00005047 3959 58th Street North St. Petersburg, FL 33710

33710 Pinellas (813) 756-5660 3/6/2020 Private 0 Yes Regular

St. Petersburg White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-026664 LIC-1046607 81-3488022 SITE-00005047 3959 58th Street North St. Petersburg, FL 33710

33710 Pinellas (813) 756-5660 11/3/2020 Private 0 Yes Regular

St. Petersburg Beach Spencer Recovery Centers Florida, Inc. Suncoast C06 Day or Night Treatment with Community Housing

COMP-026493 LIC-1045867 68-0542374 SITE-00000811 140 Corey Avenue 33706 Pinellas (949) 313-5240 2/19/2021 Private 0 Yes Regular

St. Petersburg Beach Spencer Recovery Centers Florida, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-026513 LIC-1045575 68-0542374 SITE-00000811 140 Corey Avenue 33706 Pinellas (949) 313-5240 2/19/2021 Private 0 Yes Regular

STARKE ITM Group Northeast C08 Outpatient Treatment COMP-025171 LIC-1046499 01-0554517 SITE-00000530 140 W CALL ST 32091-3211

Bradford (352) 379-2829 9/11/2020 Private 0 No Regular

Starke Meridian Behavioral Health Care, Inc. Northeast C08 General Intervention COMP-023141 LIC-1045524 59-1906214 SITE-00003340 945 Grand Street 32091 Bradford (352) 374-5600 3/28/2020 Public 0 Yes Regular

Starke Meridian Behavioral Health Care, Inc. Northeast C08 Level 1 Prevention COMP-023143 LIC-1045517 59-1906214 SITE-00003340 945 Grand Street 32091 Bradford (352) 374-5600 3/28/2020 Public 0 Yes Regular

Starke Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023142 LIC-1045518 59-1906214 SITE-00003340 945 Grand Street 32091 Bradford (352) 374-5600 3/28/2020 Public 0 Yes Regular

Starke Transition House, Inc. Northeast C08 Residential Level 2 COMP-025401 LIC-1045898 59-3208913 SITE-00002617 17356 US Highway 301 North 34769 Bradford (407) 892-5700 9/30/2020 Public 85 Yes RegularStuart Banyan Detox LLC Southeast C19 Day or Night Treatment COMP-023838 LIC-1045863 47-5607622 SITE-00002653 201/203 Southeast Osceola Street 34994 Martin (954) 533-7705 5/28/2020 Private 0 Yes RegularStuart Banyan Detox LLC Southeast C19 Inpatient Detoxification COMP-023839 LIC-1045861 47-5607622 SITE-00002653 201/203 Southeast Osceola Street 34994 Martin (954) 533-7705 5/28/2020 Private 20 Yes RegularStuart Banyan Detox LLC Southeast C19 Intensive Inpatient Treatment COMP-023837 LIC-1045862 47-5607622 SITE-00002653 201/203 Southeast Osceola Street 34994 Martin (954) 533-7705 5/28/2020 Private 4 Yes RegularStuart Banyan Detox LLC Southeast C19 Residential Level 1 COMP-023836 LIC-1045864 47-5607622 SITE-00002653 201/203 Southeast Osceola Street 34994 Martin (954) 533-7705 5/28/2020 Private 6 Yes RegularSTUART Banyan Detox LLC Southeast C19 Residential Level 5 COMP-023835 LIC-1045742 47-5607622 SITE-00003531 203 SE OSCEOLA ST FL 2 34994 Martin (954) 533-7705 5/28/2020 Private 20 Yes RegularStuart Best Life Counseling, LLC Central C19 Outpatient Treatment COMP-025526 LIC-1046437 45-2599825 SITE-00005227 609 SE Central Pkwy 33458-

6830Martin (561) 745-8889 8/21/2020 Private 0 No Regular

Stuart Coastal Detox, Inc. Southeast C19 Day or Night Treatment COMP-026270 LIC-1047260 47-2527897 SITE-00002522 1131 SE Indian Street 34997 Martin (772) 617-0126 1/28/2021 Private 0 Yes RegularStuart Coastal Detox, Inc. Southeast C19 Inpatient Detoxification COMP-026268 LIC-1045612 47-2527897 SITE-00002522 1131 SE Indian Street 34997 Martin (772) 617-0126 1/28/2021 Private 20 Yes RegularStuart Coastal Detox, Inc. Southeast C19 Residential Level 1 COMP-026269 LIC-1045613 47-2527897 SITE-00002522 1131 SE Indian Street 34997 Martin (772) 617-0126 1/28/2021 Private 20 Yes RegularStuart Essentials of Recovery Southeast C19 Aftercare COMP-025614 LIC-1046815 81-1865718 SITE-00004436 1607 NW Federal Highway 34994 Martin (772) 260-5648 10/28/2020 Private 0 Yes Regular

Stuart Essentials of Recovery Southeast C19 Intensive Outpatient Treatment COMP-025618 LIC-1046744 81-1865718 SITE-00004436 1607 NW Federal Highway 34994 Martin (772) 260-5648 10/28/2020 Private 0 Yes Regular

Stuart Essentials of Recovery Southeast C19 Outpatient Treatment COMP-025616 LIC-1046743 81-1865718 SITE-00004436 1607 NW Federal Highway 34994 Martin (772) 260-5648 10/28/2020 Private 0 Yes Regular

Stuart Harmony Treatment and Wellness of Stuart, LLC

Southeast C19 Day or Night Treatment with Community Housing

COMP-025763 LIC-1046766 82-5218743 SITE-00004716 616 SE Central Parkway 34994-3970

Martin (772) 320-5885 10/29/2020 Private 0 Yes Regular

Stuart Harmony Treatment and Wellness of Stuart, LLC

Southeast C19 Intensive Outpatient Treatment COMP-025764 LIC-1046765 82-5218743 SITE-00004716 616 SE Central Parkway 34994-3970

Martin (772) 320-5885 10/29/2020 Private 0 Yes Regular

Stuart New Horizons of the Treasure Coast, Inc.

Southeast C19 Outpatient Treatment COMP-023398 LIC-1045619 59-6153749 SITE-00001009 1111 Southeast Federal Hwy. 34994 Martin (772) 468-5600 4/23/2020 Public 0 Yes Regular

Stuart Recovery By The Sea, LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-026841 LIC-1045706 47-1093223 SITE-00004619 2801 SE Martin Square Corporate Parkway 34994 Martin (772) 888-3025 4/26/2020 Private 0 Yes Probationary

Stuart Recovery By The Sea, LLC Southeast C19 Intensive Outpatient Treatment COMP-026840 LIC-1045707 47-1093223 SITE-00004619 2801 SE Martin Square Corporate Parkway 34994 Martin (772) 888-3025 4/26/2020 Private 0 Yes Probationary

Stuart Recovery By The Sea, LLC Southeast C19 Outpatient Treatment COMP-026842 LIC-1045708 47-1093223 SITE-00004619 2801 SE Martin Square Corporate Parkway 34994 Martin (772) 888-3025 4/26/2020 Private 0 Yes Probationary

Stuart Serenity Counseling Services, P.A. Southeast C19 Aftercare COMP-023466 LIC-1045664 26-0036204 SITE-00000869 500 Northwest Dixie Hwy 34994 Martin (772) 692-8585 4/27/2020 Private 0 No RegularStuart Serenity Counseling Services, P.A. Southeast C19 Intensive Outpatient Treatment COMP-023464 LIC-1045665 26-0036204 SITE-00000869 500 Northwest Dixie Hwy 34994 Martin (772) 692-8585 4/27/2020 Private 0 No RegularStuart Serenity Counseling Services, P.A. Southeast C19 Outpatient Treatment COMP-023465 LIC-1045666 26-0036204 SITE-00000869 500 Northwest Dixie Hwy 34994 Martin (772) 692-8585 4/27/2020 Private 0 No RegularSTUART The C.O.R.E. Program, Inc. Southeast C19 General Intervention COMP-026263 LIC-1045188 59-1719923 SITE-00000953 905 SE JOHNSON AVE 34994-

3816Martin (772) 286-7352 4/22/2020 Private 0 No Interim 2nd

Source: PLADS Page 80 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

STUART Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-026104 LIC-1045210 20-4128112 SITE-00000842 959 SE CENTRAL PKWY 34994-3904

Martin (772) 286-8933 10/20/2020 Private 0 No Regular

STUART Tradewinds Enrichment Solutions, Inc. Southeast C19 Level 1 Prevention COMP-025786 LIC-1046747 20-4128112 SITE-00000842 959 SE CENTRAL PKWY 34994-3904

Martin (772) 286-8933 10/20/2020 Private 0 No Regular

STUART Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-025607 LIC-1046746 20-4128112 SITE-00000842 959 SE CENTRAL PKWY 34994-3904

Martin (772) 286-8933 10/20/2020 Public 0 No Regular

Stuart TrueCore Behavioral Solutions, LLC Southeast C19 Level 1 Prevention COMP-023313 LIC-1045567 54-1859903 SITE-00002644 800 SE Monterrey Road 34994 Martin (813) 514-6275 4/7/2020 Public 0 Yes RegularStuart TrueCore Behavioral Solutions, LLC Southeast C19 Outpatient Treatment COMP-023312 LIC-1045557 54-1859903 SITE-00002644 800 SE Monterrey Road 34994 Martin (813) 514-6275 4/7/2020 Public 0 Yes RegularSTUART Wellness Counseling and Residential

Detoxification Services, LLCSoutheast C19 Day or Night Treatment COMP-025859 LIC-1047114 46-2231783 SITE-00000903 6300 SE FEDERAL HWY 34997-

8363Martin (772) 266-7682 10/12/2020 Private 0 Yes Regular

STUART Wellness Counseling and Residential Detoxification Services, LLC

Southeast C19 Inpatient Detoxification COMP-025860 LIC-1045067 46-2231783 SITE-00000903 6300 SE FEDERAL HWY 34997-8363

Martin (772) 266-7682 10/12/2020 Private 15 Yes Regular

STUART Wellness Counseling and Residential Detoxification Services, LLC

Southeast C19 Intensive Outpatient Treatment COMP-025858 LIC-1047113 46-2231783 SITE-00000903 6300 SE FEDERAL HWY 34997-8363

Martin (772) 266-7682 10/12/2020 Private 0 Yes Regular

STUART Wellness Counseling and Residential Detoxification Services, LLC

Southeast C19 Residential Level 1 COMP-025861 LIC-1045066 46-2231783 SITE-00000903 6300 SE FEDERAL HWY 34997-8363

Martin (772) 266-7682 10/12/2020 Private 12 Yes Regular

Sumatra Twin Oaks Juvenile Development, Inc. Northwest C02 Outpatient Treatment COMP-024846 LIC-1046091 59-3512790 SITE-00001099 2941 Liberty Wilderness Road 32335 Liberty (850) 643-1090 7/6/2020 Public 0 Yes Regular

Summerfield Perspectives II Central C05 Intensive Outpatient Treatment COMP-024895 LIC-1045956 27-0547707 SITE-00001513 9425 SE Hwy 42 34491 Marion (352) 347-6272 6/28/2020 Private 0 Yes RegularSummerfield Perspectives II Central C05 Outpatient Treatment COMP-024863 LIC-1045957 27-0547707 SITE-00001513 9425 SE Hwy 42 34491 Marion (352) 347-6272 6/28/2020 Private 0 Yes RegularSUNRISE A Better You Wellness Center, LLC Southeast C17 Day or Night Treatment COMP-025527 LIC-1046742 82-0828874 SITE-00004408 3529 N PINE ISLAND RD 33351-

6638Broward (754) 264-5133 10/19/2020 Private 0 Yes Regular

SUNRISE A Better You Wellness Center, LLC Southeast C17 Intensive Outpatient Treatment COMP-025528 LIC-1046704 82-0828874 SITE-00004408 3529 N PINE ISLAND RD 33351-6638

Broward (754) 264-5133 10/19/2020 Private 0 Yes Regular

SUNRISE A Better You Wellness Center, LLC Southeast C17 Outpatient Treatment COMP-025529 LIC-1046741 82-0828874 SITE-00004408 3529 N PINE ISLAND RD 33351-6638

Broward (754) 264-5133 10/19/2020 Private 0 Yes Regular

Sunrise Active Community Health Center Southeast C17 Outpatient Treatment COMP-025793 LIC-1045438 46-2531740 SITE-00005273 1060 Sunset Strip 33313-6106

Broward (954) 333-8787 10/5/2020 Public 0 No Regular

SUNRISE Greg's Recovery Group Southeast C17 Day or Night Treatment COMP-026207 LIC-1045132 82-1953453 SITE-00004371 2045 N UNIVERSITY DR 33322-3936

Broward (954) 947-8732 12/20/2020 Private 0 Yes Regular

SUNRISE Greg's Recovery Group Southeast C17 Intensive Outpatient Treatment COMP-026206 LIC-1045131 82-1953453 SITE-00004371 2045 N UNIVERSITY DR 33322-3936

Broward (954) 947-8732 12/20/2020 Private 0 Yes Regular

SUNRISE Greg's Recovery Group Southeast C17 Outpatient Treatment COMP-026205 LIC-1046974 82-1953453 SITE-00004371 2045 N UNIVERSITY DR 33322-3936

Broward (954) 947-8732 12/20/2020 Private 0 Yes Regular

Sunrise INDIHEARTANDMIND INC. Southeast C17 Day or Night Treatment COMP-025033 LIC-1046313 46-3820258 SITE-00004674 8395 W. Oakland Park Blvd 33351 Broward (561) 404-1422 7/14/2020 Private 0 No RegularSunrise INDIHEARTANDMIND INC. Southeast C17 Intensive Outpatient Treatment COMP-025034 LIC-1046312 46-3820258 SITE-00004674 8395 W. Oakland Park Blvd 33351 Broward (561) 404-1422 7/14/2020 Private 0 No RegularSunrise INDIHEARTANDMIND INC. Southeast C17 Outpatient Treatment COMP-025035 LIC-1046311 46-3820258 SITE-00004674 8395 W. Oakland Park Blvd 33351 Broward (561) 404-1422 7/14/2020 Private 0 No RegularSUNRISE Metro Treatment of Florida, LP Southeast C17 Medication And Methadone

Maintenance TreatmentCOMP-024778 LIC-1045386 58-2341219 SITE-00000475 2175 N UNIVERSITY DR # 7 33322-

3938Broward (407) 351-7080 8/3/2020 Private 0 Yes Regular

Tallahassee A Life Recovery Center Northwest C02 Outpatient Treatment COMP-024021 LIC-1047169 59-3099155 SITE-00001461 449 W. Georgia Street 32301 Leon (850) 224-9991 3/27/2020 Public 0 No RegularTallahassee A Life Recovery Center Northwest C02 Residential Level 2 COMP-024020 LIC-1047170 59-3099155 SITE-00001461 449 W. Georgia Street 32301 Leon (850) 224-9991 3/27/2020 Public 18 No RegularTallahassee A Life Recovery Center Northwest C02 Residential Level 4 COMP-024063 LIC-1047257 59-3099155 SITE-00001461 449 W. Georgia Street 32301 Leon (850) 224-9991 3/27/2020 Public 6 No RegularTallahassee Apalachee Center, Inc. Northwest C02 Case Management COMP-024281 LIC-1046109 59-1162148 SITE-00003614 2634-C Capital Circle NE 32308 Leon (850) 523-3333 5/12/2020 Private 0 Yes RegularTALLAHASSEE Apalachee Center, Inc. Northwest C02 Inpatient Detoxification COMP-024282 LIC-1046128 59-1162148 SITE-00004151 2634-B CAPITAL CIRCLE NE 32308 Leon (850) 523-3333 5/12/2020 Public 14 Yes RegularTallahassee Apalachee Center, Inc. Northwest C02 Outpatient Treatment COMP-024280 LIC-1046114 59-1162148 SITE-00003614 2634-C Capital Circle NE 32308 Leon (850) 523-3333 5/12/2020 Public 0 Yes RegularTallahassee Avalon Treatment Centers, Inc. Northwest C02 Aftercare COMP-025241 LIC-1046778 37-1840060 SITE-00002364 1363 East Lafayette Street 32301 Leon (850) 727-8738 7/23/2020 Private 0 No RegularTallahassee Avalon Treatment Centers, Inc. Northwest C02 Outpatient Treatment COMP-021352 LIC-1046809 37-1840060 SITE-00002364 1363 East Lafayette Street 32301 Leon (850) 727-8738 7/23/2020 Public 0 No Regular

Source: PLADS Page 81 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Tallahassee Camelot Community Care, Inc. Northwest C02 Outpatient Treatment COMP-024197 LIC-1047152 31-1659302 SITE-00004821 2303 Ronellis Drive 32310 Leon (727) 593-0003 4/1/2020 Public 0 Yes RegularTALLAHASSEE DISC Village, Inc. Northwest C02 Aftercare COMP-026556 LIC-1045406 59-1491338 SITE-00001514 1000 W THARPE ST 32303-

5311Leon (850) 575-4388 2/28/2021 Public 0 Yes Regular

TALLAHASSEE DISC Village, Inc. Northwest C02 Case Management COMP-026553 LIC-1045420 59-1491338 SITE-00001514 1000 W THARPE ST 32303-5311

Leon (850) 575-4388 2/28/2021 Public 0 Yes Regular

TALLAHASSEE DISC Village, Inc. Northwest C02 General Intervention COMP-026555 LIC-1045403 59-1491338 SITE-00001514 1000 W THARPE ST 32303-5311

Leon (850) 575-4388 2/28/2021 Public 0 Yes Regular

Tallahassee DISC Village, Inc. Northwest C02 General Intervention COMP-026560 LIC-1045403 59-1491338 SITE-00001541 3333 West Pensacola Street 32304 Leon (850) 575-4388 2/28/2021 Public 0 Yes RegularTALLAHASSEE DISC Village, Inc. Northwest C02 Intensive Outpatient Treatment COMP-026554 LIC-1045407 59-1491338 SITE-00001514 1000 W THARPE ST 32303-

5311Leon (850) 575-4388 2/28/2021 Public 0 Yes Regular

Tallahassee DISC Village, Inc. Northwest C02 Level 1 Prevention COMP-026558 LIC-1045408 59-1491338 SITE-00001541 3333 West Pensacola Street 32304 Leon (850) 575-4388 2/28/2021 Public 0 Yes RegularTallahassee DISC Village, Inc. Northwest C02 Level 2 Prevention COMP-026559 LIC-1045409 59-1491338 SITE-00001541 3333 West Pensacola Street 32304 Leon (850) 575-4388 2/28/2021 Public 0 Yes RegularTALLAHASSEE DISC Village, Inc. Northwest C02 Outpatient Treatment COMP-026552 LIC-1045404 59-1491338 SITE-00001514 1000 W THARPE ST 32303-

5311Leon (850) 575-4388 2/28/2021 Public 0 Yes Regular

Tallahassee DISC Village, Inc. Northwest C02 Outpatient Treatment COMP-026557 LIC-1045404 59-1491338 SITE-00001541 3333 West Pensacola Street 32304 Leon (850) 575-4388 2/28/2021 Public 0 Yes RegularTallahassee DISC Village, Inc. Northwest C02 Residential Level 2 COMP-026567 LIC-1045419 59-1491338 SITE-00005141 2923 Serenity Way 32305 Leon (850) 575-4388 2/28/2021 Public 20 Yes RegularTallahassee DISC Village, Inc. Northwest C02 Residential Level 2 COMP-026568 LIC-1045419 59-1491338 SITE-00005142 10914 Recovery Way 32305 Leon (850) 575-4388 2/28/2021 Public 20 Yes RegularTALLAHASSEE Metro Treatment of Florida, LP Northwest C02 Medication And Methadone

Maintenance TreatmentCOMP-024767 LIC-1045386 58-2341219 SITE-00001613 3976 WOODVILLE HWY 32305-

7449Leon (407) 351-7080 8/3/2020 Private 354 Yes Regular

Tallahassee Non-Secure Programs, Inc. Northwest C02 Residential Level 2 COMP-025714 LIC-1045213 59-3305702 SITE-00001561 3190 Springhill Road 32305 Leon (850) 747-8776 11/8/2020 Public 26 No RegularTALLAHASSEE PACE Center for Girls, Inc. Northwest C02 Level 1 Prevention COMP-023947 LIC-1045495 59-2414492 SITE-00004444 311 E JENNINGS ST 32301-

4427Leon (904) 448-8002 6/6/2020 Public 0 No Regular

TALLAHASSEE PACE Center for Girls, Inc. Northwest C02 Level 2 Prevention COMP-023948 LIC-1045494 59-2414492 SITE-00004444 311 E JENNINGS ST 32301-4427

Leon (904) 448-8002 6/6/2020 Public 0 No Regular

Tallahassee Shisa Corporation Northwest C02 Outpatient Treatment COMP-024065 LIC-1047209 59-3335437 SITE-00001144 418 West Virginia Street 32205 Leon (850) 224-4227 6/5/2020 Public 0 No RegularTallahassee Tallahassee Memorial Healthcare Inc. Northwest C02 Intensive Outpatient Treatment COMP-024923 LIC-1046369 59-1917016 SITE-00001635 1616 Physicians Dr. 32308 Leon (850) 431-5910 6/27/2020 Public 0 Yes Regular

Tallahassee Turn About, Inc. of Tallahassee Northwest C02 Aftercare COMP-024744 LIC-1047235 59-2147472 SITE-00001642 2771 Miccosukee Road 32308 Leon (850) 671-1920 7/7/2020 Public 0 No RegularTallahassee Turn About, Inc. of Tallahassee Northwest C02 General Intervention COMP-024745 LIC-1047249 59-2147472 SITE-00001642 2771 Miccosukee Road 32308 Leon (850) 671-1920 7/7/2020 Public 0 No RegularTallahassee Turn About, Inc. of Tallahassee Northwest C02 Intensive Outpatient Treatment COMP-025032 LIC-1047247 59-2147472 SITE-00001642 2771 Miccosukee Road 32308 Leon (850) 671-1920 7/7/2020 Public 0 No RegularTallahassee Turn About, Inc. of Tallahassee Northwest C02 Level 1 Prevention COMP-024804 LIC-1047248 59-2147472 SITE-00001642 2771 Miccosukee Road 32308 Leon (850) 671-1920 7/7/2020 Public 0 Yes RegularTallahassee Turn About, Inc. of Tallahassee Northwest C02 Outpatient Treatment COMP-024743 LIC-1047246 59-2147472 SITE-00001642 2771 Miccosukee Road 32308 Leon (850) 671-1920 7/7/2020 Public 0 No RegularTamarac Destination Hope, Inc. Southeast C17 Inpatient Detoxification COMP-026272 LIC-1047093 20-4845884 SITE-00004882 8301 W. McNab Road 33321 Broward (954) 771-2091 1/22/2021 Private 10 Yes RegularTamarac Destination Hope, Inc. Southeast C17 Residential Level 1 COMP-026271 LIC-1047094 20-4845884 SITE-00004882 8301 W. McNab Road 33321 Broward (954) 771-2091 1/22/2021 Private 40 Yes RegularTAMARAC HRC The Sanctuary, LLC Southeast C17 Inpatient Detoxification COMP-026184 LIC-1046827 81-2842549 SITE-00004413 8290 N UNIVERSITY DR 33321-

1710Broward (877) 772-3711 12/13/2020 Private 12 Yes Regular

TAMARAC HRC The Sanctuary, LLC Southeast C17 Residential Level 1 COMP-026185 LIC-1046828 81-2842549 SITE-00004413 8290 N UNIVERSITY DR 33321-1710

Broward (877) 772-3711 12/13/2020 Private 7 Yes Regular

Tamarac Refresh Canopy Cove, Inc Southeast C17 Intensive Outpatient Treatment COMP-025334 LIC-1047287 82-3603285 SITE-00005233 7880 N. University Drive 33321 Broward (941) 363-0878 8/17/2020 Private 0 No RegularTamarac Refresh Canopy Cove, Inc Southeast C17 Outpatient Treatment COMP-025337 LIC-1047288 82-3603285 SITE-00005233 7880 N. University Drive 33321 Broward (941) 363-0878 8/17/2020 Private 0 No RegularTamarac Western Judicial Services, Inc. Southeast C17 Aftercare COMP-026504 LIC-1045924 59-3443592 SITE-00004557 5467 N. State Road 7 33319 Broward (321) 868-4066 2/24/2021 Public 0 No RegularTamarac Western Judicial Services, Inc. Southeast C17 Outpatient Treatment COMP-026503 LIC-1045925 59-3443592 SITE-00004557 5467 N. State Road 7 33319 Broward (321) 868-4066 2/24/2021 Public 0 No RegularTampa Agency for Community Treatment

Services, Inc.Suncoast C13 Addictions Receiving Facility COMP-023084 LIC-1045478 59-1860626 SITE-00000508 8620 N. Dixon Ave 33614 Hillsborou

gh(813) 246-4899 3/12/2020 Public 10 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Addictions Receiving Facility COMP-023074 LIC-1045478 59-1860626 SITE-00001975 2214 East Henry Avenue 33610 Hillsborough

(813) 246-4899 3/12/2020 Public 30 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Aftercare COMP-023088 LIC-1045458 59-1860626 SITE-00000470 4612 N 56th St 33610 Hillsborough

(813) 246-4899 3/12/2020 Public 0 No Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 General Intervention COMP-023086 LIC-1045471 59-1860626 SITE-00000502 8605 N. Branch Ave 33604 Hillsborough

(813) 246-4899 3/12/2020 Public 0 Yes Regular

Source: PLADS Page 82 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 General Intervention COMP-023083 LIC-1045471 59-1860626 SITE-00000508 8620 N. Dixon Ave 33614 Hillsborough

(813) 246-4899 3/12/2020 Public 0 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Intensive Outpatient Treatment COMP-024076 LIC-1046798 59-1860626 SITE-00000470 4612 N 56th St 33610 Hillsborough

(813) 246-4899 3/12/2020 Public 0 No Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Level 1 Prevention COMP-023087 LIC-1045472 59-1860626 SITE-00000502 8605 N. Branch Ave 33604 Hillsborough

(813) 246-4899 3/12/2020 Public 0 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Level 1 Prevention COMP-023085 LIC-1045472 59-1860626 SITE-00000508 8620 N. Dixon Ave 33614 Hillsborough

(813) 246-4899 3/12/2020 Public 0 No Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Outpatient Detoxification COMP-023073 LIC-1045509 59-1860626 SITE-00001975 2214 East Henry Avenue 33610 Hillsborough

(813) 246-4899 3/12/2020 Public 0 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Outpatient Treatment COMP-023076 LIC-1045476 59-1860626 SITE-00000470 4612 N 56th St 33610 Hillsborough

(813) 246-4899 3/12/2020 Public 0 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Residential Level 4 COMP-023075 LIC-1045477 59-1860626 SITE-00000476 4403 W. Dr. Martin Luther King Blvd. 33614 Hillsborough

(813) 246-4899 3/12/2020 Public 50 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Residential Level 5 COMP-023172 LIC-1045475 59-1860626 SITE-00000476 4403 W. Dr. Martin Luther King Blvd. 33614 Hillsborough

(813) 246-4899 3/12/2020 Public 30 Yes Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Residential Level 5 COMP-023080 LIC-1045475 59-1860626 SITE-00001501 6806 N Nebraska Ave 33604 Hillsborough

(813) 246-4899 3/12/2020 Public 16 No Regular

Tampa Agency for Community Treatment Services, Inc.

Suncoast C13 Residential Level 5 COMP-023077 LIC-1045475 59-1860626 SITE-00003922 1229 East 131st Avenue 33612 Hillsborough

(813) 246-4899 3/12/2020 Public 20 No Regular

Tampa Behavioral Health Management Services, Inc.

Suncoast C13 Intensive Outpatient Treatment COMP-024870 LIC-1046412 59-3279573 SITE-00001812 2727 W. Martin Luther King Blvd. 33607 Hillsborough

(727) 841-4200 8/29/2020 Private 0 Yes Regular

Tampa Behavioral Health Management Services, Inc.

Suncoast C13 Outpatient Treatment COMP-024869 LIC-1046411 59-3279573 SITE-00001812 2727 W. Martin Luther King Blvd. 33607 Hillsborough

(727) 841-4200 8/29/2020 Private 0 Yes Regular

TAMPA BoardPREP,LLC Suncoast C13 Day or Night Treatment with Community Housing

COMP-025011 LIC-1046232 46-5722887 SITE-00002182 2522 W KENNEDY BLVD 33609-3306

Hillsborough

(813) 600-7929 8/21/2020 Private 0 Yes Regular

TAMPA BoardPREP,LLC Suncoast C13 Intensive Outpatient Treatment COMP-025012 LIC-1046231 46-5722887 SITE-00002182 2522 W KENNEDY BLVD 33609-3306

Hillsborough

(813) 600-7929 8/21/2020 Private 0 Yes Regular

TAMPA BoardPREP,LLC Suncoast C13 Outpatient Detoxification COMP-025009 LIC-1046305 46-5722887 SITE-00002182 2522 W KENNEDY BLVD 33609-3306

Hillsborough

(813) 600-7929 8/21/2020 Private 0 Yes Regular

TAMPA BoardPREP,LLC Suncoast C13 Outpatient Treatment COMP-025010 LIC-1046230 46-5722887 SITE-00002182 2522 W KENNEDY BLVD 33609-3306

Hillsborough

(813) 600-7929 8/21/2020 Private 0 Yes Regular

Tampa C E Mendez Foundation, Inc. Suncoast C13 Level 1 Prevention COMP-025122 LIC-1046458 59-1086491 SITE-00003563 600 N. Willow Avenue 33606 Hillsborough

(813) 251-3600 10/6/2020 Private 0 No Regular

Tampa Camelot Community Care, Inc. Suncoast C13 Outpatient Treatment COMP-024187 LIC-1047152 31-1659302 SITE-00004889 3948 West Martin Luther King Jr. Boulevard 33614 Hillsborough

(727) 593-0003 4/1/2020 Public 0 Yes Regular

Tampa Coalition Medical Company, LLC Suncoast C13 Day or Night Treatment COMP-025212 LIC-1046387 82-1566643 SITE-00004327 3012 N US-301 33619 Hillsborough

(407) 404-2681 9/26/2020 Private 0 Yes Regular

Tampa Coalition Medical Company, LLC Suncoast C13 Intensive Outpatient Treatment COMP-025211 LIC-1046389 82-1566643 SITE-00004327 3012 N US-301 33619 Hillsborough

(407) 404-2681 9/26/2020 Private 0 Yes Regular

Tampa Coalition Medical Company, LLC Suncoast C13 Outpatient Detoxification COMP-025210 LIC-1046386 82-1566643 SITE-00004327 3012 N US-301 33619 Hillsborough

(407) 404-2681 9/26/2020 Private 0 Yes Regular

Tampa Coalition Medical Company, LLC Suncoast C13 Outpatient Treatment COMP-025022 LIC-1046388 82-1566643 SITE-00004327 3012 N US-301 33619 Hillsborough

(407) 404-2681 9/26/2020 Private 0 Yes Regular

Tampa CURAPARR Corporation Suncoast C13 Outpatient Treatment COMP-024048 LIC-1045809 20-0221678 SITE-00005028 730 S Sterling Avenue 33609 Hillsborough

(813) 944-2215 5/22/2020 Private 0 No Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Case Management COMP-025134 LIC-1046602 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Day or Night Treatment COMP-025302 LIC-1046620 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

Source: PLADS Page 83 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 General Intervention COMP-025303 LIC-1046623 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

Tampa DACCO Behavioral Health, Inc. Suncoast C13 General Intervention COMP-025332 LIC-1046623 59-1514993 SITE-00003002 3350 W Waters Ave 33614 Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 General Intervention COMP-025327 LIC-1046623 59-1514993 SITE-00004347 4424 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Intensive Outpatient Treatment COMP-025305 LIC-1046622 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Level 1 Prevention COMP-025309 LIC-1046625 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Level 2 Prevention COMP-025306 LIC-1046621 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Medication and Methadone Maintenance Treatment

COMP-025304 LIC-1046178 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Outpatient Treatment COMP-025308 LIC-1046179 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Outpatient Treatment COMP-025328 LIC-1046179 59-1514993 SITE-00004347 4424 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 0 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Residential Level 2 COMP-025307 LIC-1046626 59-1514993 SITE-00000209 4422 E COLUMBUS DR 33605-3233

Hillsborough

(813) 384-4000 10/27/2020 Public 88 Yes Regular

Tampa DACCO Behavioral Health, Inc. Suncoast C13 Residential Level 2 COMP-025331 LIC-1046626 59-1514993 SITE-00001602 3107 N 50th St 33619 Hillsborough

(813) 384-4000 10/27/2020 Public 134 Yes Regular

TAMPA DACCO Behavioral Health, Inc. Suncoast C13 Residential Level 5 COMP-025138 LIC-1046777 59-1514993 SITE-00001598 3630 N 50TH ST 33619-1530

Hillsborough

(813) 384-4000 10/27/2020 Public 75 No Regular

TAMPA HealthCare Connection of Tampa, Inc. Suncoast C13 Day or Night Treatment with Community Housing

COMP-025866 LIC-1047000 59-3038039 SITE-00000335 14702 N FLORIDA AVE 33613-1822

Hillsborough

(813) 931-5560 11/13/2020 Private 0 Yes Regular

TAMPA HealthCare Connection of Tampa, Inc. Suncoast C13 Intensive Outpatient Treatment COMP-025865 LIC-1046998 59-3038039 SITE-00000327 825 W LINEBAUGH AVE 33612-7855

Hillsborough

(813) 931-5560 11/13/2020 Private 0 Yes Regular

TAMPA HealthCare Connection of Tampa, Inc. Suncoast C13 Level 1 Prevention COMP-025864 LIC-1046943 59-3038039 SITE-00000327 825 W LINEBAUGH AVE 33612-7855

Hillsborough

(813) 931-5560 11/13/2020 Private 0 Yes Regular

TAMPA HealthCare Connection of Tampa, Inc. Suncoast C13 Outpatient Treatment COMP-026258 LIC-1046999 59-3038039 SITE-00000327 825 W LINEBAUGH AVE 33612-7855

Hillsborough

(813) 931-5560 11/13/2020 Private 0 Yes Regular

TAMPA Hillsborough County Sheriff's Office Suncoast C13 Outpatient Treatment COMP-026525 LIC-1045290 59-6000665 SITE-00000276 520 N FALKENBURG RD 33619-7884

Hillsborough

(813) 247-8305 2/3/2021 Public 0 Yes Regular

TAMPA Insight Behavioral Health & Addictions Solutions, Inc

Suncoast C13 Day or Night Treatment with Community Housing

COMP-025985 LIC-1046819 47-5086365 SITE-00003746 508 W FLETCHER AVE 33612-3413

Hillsborough

(888) 330-2532 11/17/2020 Private 0 Yes Regular

TAMPA Insight Behavioral Health & Addictions Solutions, Inc

Suncoast C13 Intensive Outpatient Treatment COMP-025986 LIC-1046817 47-5086365 SITE-00003746 508 W FLETCHER AVE 33612-3413

Hillsborough

(888) 330-2532 11/17/2020 Private 0 Yes Regular

TAMPA Insight Behavioral Health & Addictions Solutions, Inc

Suncoast C13 Outpatient Treatment COMP-025987 LIC-1046816 47-5086365 SITE-00003746 508 W FLETCHER AVE 33612-3413

Hillsborough

(888) 330-2532 11/17/2020 Private 0 Yes Regular

Tampa Mental Health Care, Inc. Suncoast C13 Outpatient Treatment COMP-023179 LIC-1045369 59-0747306 SITE-00000773 5707 N 22nd St 33610 Hillsborough

(813) 239-8083 3/29/2020 Private 0 Yes Regular

Tampa Mental Health Care, Inc. Suncoast C13 Outpatient Treatment COMP-023112 LIC-1045369 59-0747306 SITE-00002895 3107 N. 50th St 33619 Hillsborough

(813) 239-8083 3/29/2020 Private 0 Yes Regular

Tampa Metro Treatment of Florida, LP Suncoast C13 Medication And Methadone Maintenance Treatment

COMP-024779 LIC-1045386 58-2341219 SITE-00001336 7225 North Nebraska Avenue 33604 Hillsborough

(407) 351-7080 8/3/2020 Private 0 Yes Regular

Tampa Metropolitan Charities, Inc. Suncoast C13 Level 2 Prevention COMP-024961 LIC-1046338 59-3153947 SITE-00000747 1315 East 7th Avenue 33605 Hillsborough

(727) 321-3854 8/8/2020 Public 0 No Regular

Tampa Metropolitan Charities, Inc. Suncoast C13 Outpatient Treatment COMP-024960 LIC-1046339 59-3153947 SITE-00000747 1315 East 7th Avenue 33605 Hillsborough

(727) 321-3854 8/8/2020 Public 0 No Regular

Source: PLADS Page 84 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

TAMPA Multiple Innovations To Recovery LLC Suncoast C13 Day or Night Treatment COMP-025056 LIC-1046491 47-5111610 SITE-00002987 1910 ORIENT RD 33619-3354

Hillsborough

(813) 701-1234 9/11/2020 Private 0 Yes Regular

TAMPA Multiple Innovations To Recovery LLC Suncoast C13 Intensive Outpatient Treatment COMP-025055 LIC-1046490 47-5111610 SITE-00002987 1910 ORIENT RD 33619-3354

Hillsborough

(813) 701-1234 9/11/2020 Private 0 Yes Regular

TAMPA Multiple Innovations To Recovery LLC Suncoast C13 Outpatient Detoxification COMP-025053 LIC-1046484 47-5111610 SITE-00002987 1910 ORIENT RD 33619-3354

Hillsborough

(813) 701-1234 9/11/2020 Private 0 Yes Regular

TAMPA Multiple Innovations To Recovery LLC Suncoast C13 Outpatient Treatment COMP-025054 LIC-1046492 47-5111610 SITE-00002987 1910 ORIENT RD 33619-3354

Hillsborough

(813) 701-1234 9/11/2020 Private 0 Yes Regular

TAMPA Northside Behavioral Health Center, Inc. Suncoast C13 Outpatient Treatment COMP-025538 LIC-1046596 59-1641327 SITE-00003818 12512 BRUCE B DOWNS BLVD 33612-9209

Hillsborough

(813) 977-8700 11/8/2020 Public 0 Yes Regular

TAMPA PACE Center for Girls, Inc. Suncoast C13 Level 1 Prevention COMP-024220 LIC-1045495 59-2414492 SITE-00000911 1933 E HILLSBOROUGH AVE 33610-8201

Hillsborough

(904) 448-8002 6/6/2020 Public 0 No Regular

TAMPA PACE Center for Girls, Inc. Suncoast C13 Level 2 Prevention COMP-024221 LIC-1045494 59-2414492 SITE-00000911 1933 E HILLSBOROUGH AVE 33610-8201

Hillsborough

(904) 448-8002 6/6/2020 Public 0 No Regular

Tampa Psychological Management Group, P.A. Suncoast C13 Aftercare COMP-024808 LIC-1046264 65-0305008 SITE-00000670 7402 N. 56th St. 33617 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Tampa Psychological Management Group, P.A. Suncoast C13 Aftercare COMP-024810 LIC-1046264 65-0305008 SITE-00001794 7825 N. Dale Mabry 33617 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Tampa Psychological Management Group, P.A. Suncoast C13 Outpatient Treatment COMP-024807 LIC-1046258 65-0305008 SITE-00000670 7402 N. 56th St. 33617 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

Tampa Psychological Management Group, P.A. Suncoast C13 Outpatient Treatment COMP-024809 LIC-1046258 65-0305008 SITE-00001794 7825 N. Dale Mabry 33617 Hillsborough

(813) 505-9565 7/28/2020 Public 0 No Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Day or Night Treatment COMP-024950 LIC-1046233 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 0 Yes Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Inpatient Detoxification COMP-024956 LIC-1046251 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 15 Yes Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Intensive Inpatient Treatment COMP-026472 LIC-1047408 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 6/1/2020 Private 43 Yes Probationary

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Intensive Outpatient Treatment COMP-024952 LIC-1046253 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 0 Yes Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Outpatient Treatment COMP-024953 LIC-1047036 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 0 Yes Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Residential Level 1 COMP-024955 LIC-1046252 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 53 Yes Regular

TAMPA Riverside Recovery of Tampa, LLC Suncoast C13 Residential Level 4 COMP-024951 LIC-1046234 81-4905194 SITE-00004326 4004 N RIVERSIDE DR 33603-3212

Hillsborough

(813) 296-8300 8/16/2020 Private 10 Yes Regular

Tampa Success 4 Kids and Families, Inc. Suncoast C13 Outpatient Treatment COMP-026524 LIC-1045341 14-1933532 SITE-00002012 2902 N. Armenia Avenue 33607 Hillsborough

(813) 490-5490 2/27/2021 Public 0 Yes Regular

Tampa Sunspire Health Florida, LLC. Suncoast C13 Day or Night Treatment COMP-024444 LIC-1047026 46-3424864 SITE-00002642 215 West Verne Street 33606 Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

TAMPA Sunspire Health Florida, LLC. Suncoast C13 Day or Night Treatment with Community Housing

COMP-024448 LIC-1047027 46-3424864 SITE-00002897 207 W VERNE ST 33606-2332

Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

Tampa Sunspire Health Florida, LLC. Suncoast C13 Intensive Outpatient Treatment COMP-024446 LIC-1047028 46-3424864 SITE-00002642 215 West Verne Street 33606 Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

Tampa Sunspire Health Florida, LLC. Suncoast C13 Outpatient Treatment COMP-026075 LIC-1047025 46-3424864 SITE-00002642 215 West Verne Street 33606 Hillsborough

(813) 258-4605 4/17/2020 Private 0 Yes Regular

TAMPA Sunspire Health Florida, LLC. Suncoast C13 Residential Level 2 COMP-024449 LIC-1047029 46-3424864 SITE-00002905 210 W BEACH PL 33606-2318

Hillsborough

(813) 258-4605 4/17/2020 Private 14 Yes Regular

TAMPA Tampa Crossroads Inc. Suncoast C13 Aftercare COMP-025593 LIC-1046731 59-1743719 SITE-00003840 202 W COLUMBUS DR 33602-1328

Hillsborough

(813) 238-8557 10/24/2020 Public 0 Yes Regular

Source: PLADS Page 85 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Tampa Tampa Crossroads Inc. Suncoast C13 Aftercare COMP-025595 LIC-1046731 59-1743719 SITE-00003848 5109 N. Nebraska Ave. 33603 Hillsborough

(813) 238-8557 10/24/2020 Public 0 Yes Regular

Tampa Tampa Crossroads Inc. Suncoast C13 Intensive Outpatient Treatment COMP-025594 LIC-1046732 59-1743719 SITE-00003848 5109 N. Nebraska Ave. 33603 Hillsborough

(813) 238-8557 10/24/2020 Public 0 Yes Regular

Tampa Tampa Crossroads Inc. Suncoast C13 Outpatient Treatment COMP-025596 LIC-1046730 59-1743719 SITE-00003848 5109 N. Nebraska Ave. 33603 Hillsborough

(813) 238-8557 10/24/2020 Public 0 Yes Regular

TAMPA Tampa Crossroads Inc. Suncoast C13 Residential Level 2 COMP-025592 LIC-1046729 59-1743719 SITE-00003840 202 W COLUMBUS DR 33602-1328

Hillsborough

(813) 238-8557 10/24/2020 Public 18 Yes Regular

Tampa The Chrysalis Center, Inc. d/b/a Chrysalis Health

Suncoast C13 Outpatient Treatment COMP-025280 LIC-1046519 20-1966531 SITE-00005114 7821 N DALE MABRY HWY 33614 Hillsborough

(954) 587-1008 10/1/2020 Private 0 Yes Regular

Tampa The Crisis Center of Tampa Bay, Inc. Suncoast C13 Level 1 Prevention COMP-025242 LIC-1046566 59-1785265 SITE-00001495 One Crisis Center Plaza 33613 Hillsborough

(813) 964-1964 9/28/2020 Public 0 Yes Regular

Tampa TrueCore Behavioral Solutions, LLC Suncoast C13 Outpatient Treatment COMP-023372 LIC-1045557 54-1859903 SITE-00002424 9504 East Columbus Drive 33619 Hillsborough

(813) 514-6275 4/7/2020 Public 0 Yes Regular

Tampa TrueCore Behavioral Solutions, LLC Suncoast C13 Outpatient Treatment COMP-023352 LIC-1045557 54-1859903 SITE-00002565 9508 East Columbus Drive 33619 Hillsborough

(813) 514-6275 4/7/2020 Public 0 No Regular

Tampa TrueCore Behavioral Solutions, LLC Suncoast C13 Outpatient Treatment COMP-023308 LIC-1045557 54-1859903 SITE-00002570 3930 W. Martin Luther King Blvd. 33614 Hillsborough

(813) 514-6275 4/7/2020 Public 0 No Regular

Tampa TrueCore Behavioral Solutions, LLC Suncoast C13 Outpatient Treatment COMP-023351 LIC-1045557 54-1859903 SITE-00002759 9506 E. Columbus Drive 33619 Hillsborough

(813) 514-6275 4/7/2020 Public 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Day or Night Treatment COMP-024301 LIC-1046094 72-1091178 SITE-00001007 6227 Sheldon Rd 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Intensive Outpatient Treatment COMP-024307 LIC-1046093 72-1091178 SITE-00001012 6311 Sheldon Road 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024306 LIC-1046095 72-1091178 SITE-00001007 6227 Sheldon Rd 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 52 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024349 LIC-1046095 72-1091178 SITE-00001016 8702 Rocky Oaks Ct. 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 52 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024308 LIC-1046095 72-1091178 SITE-00004719 8704 Rocky Oaks 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024309 LIC-1046095 72-1091178 SITE-00004720 8705 Rocky Oaks Court 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024310 LIC-1046095 72-1091178 SITE-00004721 8706 Rocky Oaks Court 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024311 LIC-1046095 72-1091178 SITE-00004722 8708 Rocky Oaks Court 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 0 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024312 LIC-1046095 72-1091178 SITE-00004723 8709 Rocky Oaks Court 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 52 Yes Regular

Tampa Turning Point of Tampa, Inc. Suncoast C13 Residential Level 1 COMP-024313 LIC-1046095 72-1091178 SITE-00004724 8710 Rocky Oaks Court 33615 Hillsborough

(813) 882-3003 7/14/2020 Private 52 Yes Regular

Tampa White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-023694 LIC-1045400 81-3488022 SITE-00004845 7620 W. Gunn Hwy. 33625 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Tampa White Sands Treatment Center Tampa, LLC

Suncoast C13 Outpatient Treatment COMP-023695 LIC-1046607 81-3488022 SITE-00004845 7620 W. Gunn Hwy. 33625 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Tarpon Springs Agency for Community Treatment Services, Inc.

Suncoast C06 Addictions Receiving Facility COMP-024862 LIC-1045478 59-1860626 SITE-00000513 3575 Old Keystone Rd. 33869 Pinellas (813) 246-4899 3/12/2020 Public 10 No Regular

Tarpon Springs Agency for Community Treatment Services, Inc.

Suncoast C06 Residential Level 2 COMP-023082 LIC-1045459 59-1860626 SITE-00000513 3575 Old Keystone Rd. 33869 Pinellas (813) 246-4899 3/12/2020 Public 70 Yes Regular

Tarpon Springs Metro Treatment of Florida, LP Suncoast C06 Satellite Maintenance COMP-024777 LIC-1046240 58-2341219 SITE-00001734 1919 North Pinellas Avenue 34689 Pinellas (407) 351-7080 8/3/2020 Private 0 Yes RegularTarpon Springs Pinellas Ex-Offender Re-Entry Coalition,

Inc.Suncoast C06 Outpatient Treatment COMP-024085 LIC-1045379 59-3643636 SITE-00001141 1200 South Pinellas Avenue, Suite 8 34689 Pinellas (855) 505-7372 3/30/2020 Private 0 Yes Regular

Source: PLADS Page 86 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Tarpon Springs Transition House, Inc. Suncoast C06 Aftercare COMP-025453 LIC-1045891 59-3208913 SITE-00003380 566 Brady Road 33711 Pinellas (407) 892-5700 9/30/2020 Public 0 Yes RegularTarpon Springs Transition House, Inc. Suncoast C06 General Intervention COMP-025405 LIC-1046761 59-3208913 SITE-00003380 566 Brady Road 33711 Pinellas (407) 892-5700 9/30/2020 Public 0 Yes RegularTarpon Springs Transition House, Inc. Suncoast C06 Outpatient Treatment COMP-025406 LIC-1045129 59-3208913 SITE-00003380 566 Brady Road 33711 Pinellas (407) 892-5700 9/30/2020 Public 0 Yes RegularTavares LifeStream Behavioral Center Central C05 Case Management COMP-025105 LIC-1046536 59-1561501 SITE-00001609 1300 S. Duncan Drive 32778 Lake (352) 315-7500 9/19/2020 Public 0 Yes RegularTavares Western Judicial Services, Inc. Central C05 Aftercare COMP-025553 LIC-1045924 59-3443592 SITE-00001178 544 S. Duncan Drive 32778 Lake (321) 868-4066 10/13/2020 Public 0 No Regular

Tavares Western Judicial Services, Inc. Central C05 Outpatient Treatment COMP-025556 LIC-1045925 59-3443592 SITE-00001178 544 S. Duncan Drive 32778 Lake (321) 868-4066 10/13/2020 Public 0 No Regular

Tavernier Community Health of South Florida, Inc Southern C16 Outpatient Treatment COMP-026451 LIC-1045194 59-1372690 SITE-00003136 91200 Overseas Highway, Unit 17 33070 Monroe (305) 252-4838 1/31/2021 Public 0 Yes Regular

Temple Terrace White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-024973 LIC-1045400 81-3488022 SITE-00004849 6610 E. Fowler Ave. 33617 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Temple Terrace White Sands Treatment Center Tampa, LLC

Suncoast C13 Intensive Outpatient Treatment COMP-026623 LIC-1045400 81-3488022 SITE-00004849 6610 E. Fowler Ave. 33617 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Temple Terrace White Sands Treatment Center Tampa, LLC

Suncoast C13 Outpatient Treatment COMP-023870 LIC-1046607 81-3488022 SITE-00004849 6610 E. Fowler Ave. 33617 Hillsborough

(813) 756-5660 3/6/2020 Private 0 Yes Regular

Temple Terrace White Sands Treatment Center Tampa, LLC

Suncoast C13 Outpatient Treatment COMP-026624 LIC-1046607 81-3488022 SITE-00004849 6610 E. Fowler Ave. 33617 Hillsborough

(813) 756-5660 11/3/2020 Private 0 Yes Regular

Tequesta Village BWS RECOVERY, LLC d/b/a Voyage Recovery Center

Southeast C15 Residential Level 5 COMP-023899 LIC-1045631 81-4348194 SITE-00004564 18083 SE Federal Hwy 33469-1743

Palm Beach

(772) 245-8345 4/12/2020 Private 5 Yes Regular

Thonotosassa Agency for Community Treatment Services, Inc.

Suncoast C13 Residential Level 2 COMP-023081 LIC-1045459 59-1860626 SITE-00000517 11309 Tom Folsom Rd 33592 Hillsborough

(813) 246-4899 3/12/2020 Public 20 Yes Regular

Titusville Alpha Medical Consulting, Inc. Central C18 Day or Night Treatment COMP-026343 LIC-1047362 81-3152773 SITE-00005223 123 Park Ave. 32796 Brevard (321) 567-4869 3/25/2020 Private 0 No ProbationaryTitusville Alpha Medical Consulting, Inc. Central C18 Intensive Outpatient Treatment COMP-026341 LIC-1047285 81-3152773 SITE-00005223 123 Park Ave. 32796 Brevard (321) 567-4869 3/25/2020 Private 0 No ProbationaryTitusville Alpha Medical Consulting, Inc. Central C18 Outpatient Treatment COMP-025227 LIC-1047286 81-3152773 SITE-00005223 123 Park Ave. 32796 Brevard (321) 567-4869 8/18/2020 Private 0 No RegularTitusville Eckerd Youth Alternatives, Inc. Central C18 Level 1 Prevention COMP-023268 LIC-1045100 59-2551416 SITE-00001705 850 Knox McRae Dr. 32780 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularTitusville Eckerd Youth Alternatives, Inc. Central C18 Level 2 Prevention COMP-023269 LIC-1045734 59-2551416 SITE-00001705 850 Knox McRae Dr. 32780 Brevard (727) 461-2990 4/4/2020 Private 0 Yes RegularTitusville Space Coast Recovery, Inc. Central C18 Outpatient Treatment COMP-023772 LIC-1045667 23-7061960 SITE-00000591 1206 Main Street 32782 Brevard (321) 632-8730 4/26/2020 Public 0 Yes RegularTitusville White Sands Treatment Center Tampa,

LLCCentral C18 Outpatient Treatment COMP-027113 LIC-1046607 81-3488022 SITE-00005366 2323 S Washington Ave 32780 Brevard (813) 756-5660 5/18/2020 Private 0 Yes Probationary

Treasure Island Footprints Beachside Recovery, Inc. Suncoast C06 Day or Night Treatment COMP-025193 LIC-1046554 26-1225470 SITE-00004121 151 107th Avenue 33706 Pinellas (727) 954-3908 9/15/2020 Private 0 Yes Regular

Treasure Island Footprints Beachside Recovery, Inc. Suncoast C06 Intensive Outpatient Treatment COMP-025362 LIC-1046552 26-1225470 SITE-00004121 151 107th Avenue 33706 Pinellas (727) 954-3908 9/15/2020 Private 0 Yes Regular

Treasure Island Footprints Beachside Recovery, Inc. Suncoast C06 Outpatient Treatment COMP-025363 LIC-1046553 26-1225470 SITE-00004121 151 107th Avenue 33706 Pinellas (727) 954-3908 9/15/2020 Private 0 Yes Regular

TRENTON Department of Corrections, Bureau of Substance Abuse Program Services

Northeast C08 Intensive Outpatient Treatment COMP-025089 LIC-1046556 59-2869774 SITE-00003139 3449 SW STATE ROAD 26 32693-5641

Gilchrist (850) 717-3060 10/13/2020 Public 0 No Regular

TRENTON Department of Corrections, Bureau of Substance Abuse Program Services

Northeast C08 Level 1 Prevention COMP-025995 LIC-1045536 59-2869774 SITE-00003139 3449 SW STATE ROAD 26 32693-5641

Gilchrist (850) 717-3060 10/13/2020 Public 0 No Regular

Trenton Meridian Behavioral Health Care, Inc. Northeast C08 General Intervention COMP-023144 LIC-1045524 59-1906214 SITE-00003570 728 NE 7th Street 32693 Gilchrist (352) 374-5600 3/28/2020 Public 0 Yes Regular

Trenton Meridian Behavioral Health Care, Inc. Northeast C08 Outpatient Treatment COMP-023145 LIC-1045518 59-1906214 SITE-00003570 728 NE 7th Street 32693 Gilchrist (352) 374-5600 3/28/2020 Public 0 Yes Regular

Umatilla Recovery Village at Umatilla, LLC Central C05 Aftercare COMP-023814 LIC-1045781 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 0 Yes RegularUmatilla Recovery Village at Umatilla, LLC Central C05 Day or Night Treatment COMP-023811 LIC-1045779 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 0 Yes RegularUmatilla Recovery Village at Umatilla, LLC Central C05 Inpatient Detoxification COMP-023810 LIC-1045767 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 30 Yes RegularUmatilla Recovery Village at Umatilla, LLC Central C05 Intensive Inpatient Treatment COMP-023816 LIC-1045782 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 15 Yes RegularUmatilla Recovery Village at Umatilla, LLC Central C05 Intensive Outpatient Treatment COMP-023812 LIC-1045778 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 0 Yes Regular

Source: PLADS Page 87 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Umatilla Recovery Village at Umatilla, LLC Central C05 Outpatient Treatment COMP-023813 LIC-1045777 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 0 Yes RegularUmatilla Recovery Village at Umatilla, LLC Central C05 Residential Level 1 COMP-023815 LIC-1045783 45-5052733 SITE-00002312 633 Umatilla Blvd. 32784 Lake (754) 300-3120 5/26/2020 Private 45 Yes RegularVenice Centerpointe Counseling and Recovery

of Sarasota, LLCSuncoast C12 Intensive Outpatient Treatment COMP-023868 LIC-1045945 46-3221369 SITE-00002910 425 Commercial Court 34292 Sarasota (941) 488-4811 6/3/2020 Private 0 No Regular

VENICE First Step of Sarasota, Inc. Suncoast C12 Aftercare COMP-024172 LIC-1046101 59-1304472 SITE-00000354 166 CENTER RD 34285-5501

Sarasota (941) 366-5333 6/30/2020 Public 0 Yes Regular

VENICE First Step of Sarasota, Inc. Suncoast C12 Outpatient Treatment COMP-024161 LIC-1046090 59-1304472 SITE-00000354 166 CENTER RD 34285-5501

Sarasota (941) 366-5333 6/30/2020 Public 0 Yes Regular

Vero Beach New Horizons of the Treasure Coast, Inc.

Southeast C19 Outpatient Treatment COMP-023427 LIC-1045619 59-6153749 SITE-00003608 1910 82nd Avenue, Suite 202 32966 Indian River

(772) 468-5600 4/23/2020 Private 0 Yes Regular

Vero Beach Phoenix Rising Wellness Center, LLC Southeast C19 Day or Night Treatment with Community Housing

COMP-024627 LIC-1047037 83-0662070 SITE-00004852 1114 17th Street 32960 Indian River

(772) 494-3226 5/21/2020 Private 0 No Regular

Vero Beach Phoenix Rising Wellness Center, LLC Southeast C19 Intensive Outpatient Treatment COMP-024632 LIC-1047039 83-0662070 SITE-00004852 1114 17th Street 32960 Indian River

(772) 494-3226 5/21/2020 Private 0 No Regular

Vero Beach Phoenix Rising Wellness Center, LLC Southeast C19 Outpatient Treatment COMP-026131 LIC-1047038 83-0662070 SITE-00004852 1114 17th Street 32960 Indian River

(772) 494-3226 5/21/2020 Private 0 No Regular

Vero Beach Phoenix Rising Wellness Center, LLC Southeast C19 Residential Level 2 COMP-026035 LIC-1047345 83-0662070 SITE-00004852 1114 17th Street 32960 Indian River

(772) 494-3226 11/30/2020 Private 6 No Regular

Vero Beach SequelCare of Florida, LLC Southeast C19 Outpatient Treatment COMP-024884 LIC-1047262 90-0341538 SITE-00005181 1910 82nd Avenue 32966 Indian River

(727) 547-0607 7/14/2020 Private 0 No Regular

VERO BEACH Substance Abuse Council of IRC Southeast C19 Day or Night Treatment COMP-023853 LIC-1046064 65-0202835 SITE-00002100 1507 20TH ST 32960-3563

Indian River

(772) 770-4811 5/22/2020 Public 0 No Regular

VERO BEACH Substance Abuse Council of IRC Southeast C19 Level 1 Prevention COMP-025326 LIC-1046706 65-0202835 SITE-00002100 1507 20TH ST 32960-3563

Indian River

(772) 770-4811 11/15/2020 Public 0 No Regular

VERO BEACH Substance Abuse Council of IRC Southeast C19 Level 2 Prevention COMP-025324 LIC-1046779 65-0202835 SITE-00002100 1507 20TH ST 32960-3563

Indian River

(772) 770-4811 11/15/2020 Public 0 No Regular

VERO BEACH Substance Abuse Council of IRC Southeast C19 Outpatient Treatment COMP-025325 LIC-1046780 65-0202835 SITE-00002100 1507 20TH ST 32960-3563

Indian River

(772) 770-4811 11/15/2020 Public 0 No Regular

Vero Beach The C.O.R.E. Program, Inc. Southeast C19 General Intervention COMP-026264 LIC-1045188 59-1719923 SITE-00004936 1412 Old Dixie Highway 32960 Indian River

(772) 286-7352 4/22/2020 Private 0 No Interim 2nd

VERO BEACH Tradewinds Enrichment Solutions, Inc. Southeast C19 Aftercare COMP-025608 LIC-1045210 20-4128112 SITE-00000560 1458 OLD DIXIE HWY 32960-3773

Indian River

(772) 286-8933 10/20/2020 Private 0 No Regular

VERO BEACH Tradewinds Enrichment Solutions, Inc. Southeast C19 Outpatient Treatment COMP-026109 LIC-1046746 20-4128112 SITE-00000560 1458 OLD DIXIE HWY 32960-3773

Indian River

(772) 286-8933 10/20/2020 Private 0 No Regular

WAUCHULA Halcyon Management Group, Inc. Central C10 Aftercare COMP-025706 LIC-1046471 46-2922097 SITE-00003717 116 W ORANGE ST 33873-2826

Hardee (941) 255-5900 9/9/2020 Public 0 No Regular

WAUCHULA Halcyon Management Group, Inc. Central C10 Outpatient Treatment COMP-025661 LIC-1046472 46-2922097 SITE-00003717 116 W ORANGE ST 33873-2826

Hardee (941) 255-5900 9/9/2020 Public 0 No Regular

WAUCHULA Tri-County Human Services, Inc. Central C10 Aftercare COMP-025468 LIC-1046570 59-1708182 SITE-00001708 115 K D REVELL RD 33873-2051

Hardee (863) 709-9392 9/26/2020 Private 0 Yes Regular

WAUCHULA Tri-County Human Services, Inc. Central C10 Case Management COMP-025469 LIC-1046576 59-1708182 SITE-00001708 115 K D REVELL RD 33873-2051

Hardee (863) 709-9392 9/26/2020 Public 0 Yes Regular

WAUCHULA Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025467 LIC-1046571 59-1708182 SITE-00001708 115 K D REVELL RD 33873-2051

Hardee (863) 709-9392 9/26/2020 Public 0 Yes Regular

Wellington Compassionate Care Recovery Inc Southeast C15 Day or Night Treatment COMP-026170 LIC-1046426 81-4971403 SITE-00004953 642 W Rambling Dr 33414 Palm Beach

(561) 366-7245 12/27/2020 Private 0 Yes Regular

Wellington Compassionate Care Recovery Inc Southeast C15 Intensive Outpatient Treatment COMP-026101 LIC-1046022 81-4971403 SITE-00004953 642 W Rambling Dr 33414 Palm Beach

(561) 366-7245 12/27/2020 Private 0 Yes Regular

Wellington Compassionate Care Recovery Inc Southeast C15 Outpatient Treatment COMP-025072 LIC-1046023 81-4971403 SITE-00004953 642 W Rambling Dr 33414 Palm Beach

(561) 366-7245 8/28/2020 Private 0 Yes Regular

Source: PLADS Page 88 of 95

Page 89: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Wellington Compassionate Care Recovery Inc Southeast C15 Residential Level 1 COMP-026171 LIC-1047061 81-4971403 SITE-00004954 642 W. Rambling Drive 33414 Palm Beach

(561) 366-7245 12/27/2020 Private 5 Yes Regular

Wellington Compassionate Care Recovery Inc Southeast C15 Residential Level 5 COMP-025091 LIC-1046018 81-4971403 SITE-00004954 642 W. Rambling Drive 33414 Palm Beach

(561) 366-7245 8/28/2020 Private 3 Yes Regular

Wesley Chapel White Sands Treatment Center Tampa, LLC

Suncoast C06 Outpatient Treatment COMP-027114 LIC-1046607 81-3488022 SITE-00005367 27642 Cashford Circle 33544 Pasco (813) 756-5660 5/28/2020 Private 0 Yes Probationary

WEST PALM BCH Affordable & Convenient Counseling, LLC

Southeast C15 Outpatient Treatment COMP-025062 LIC-1045231 45-4301504 SITE-00003072 1280 OLD CONGRESS AVE 33409-6377

Palm Beach

(305) 901-5500 7/21/2020 Private 0 No Regular

WEST PALM BCH Palm Beach Recovery, LLC Southeast C15 Day or Night Treatment COMP-026192 LIC-1046224 81-3914459 SITE-00003228 314 10TH ST 33401-3318

Palm Beach

(561) 833-7553 9/29/2020 Private 0 Yes Regular

WEST PALM BCH Palm Beach Recovery, LLC Southeast C15 Day or Night Treatment COMP-026195 LIC-1046224 81-3914459 SITE-00003236 310 10TH ST 33401-3318

Palm Beach

(561) 833-7553 9/29/2020 Private 0 Yes Regular

WEST PALM BCH Palm Beach Recovery, LLC Southeast C15 Intensive Outpatient Treatment COMP-026191 LIC-1045584 81-3914459 SITE-00003228 314 10TH ST 33401-3318

Palm Beach

(561) 833-7553 9/29/2020 Private 0 Yes Regular

WEST PALM BCH Palm Beach Recovery, LLC Southeast C15 Intensive Outpatient Treatment COMP-026196 LIC-1045584 81-3914459 SITE-00003236 310 10TH ST 33401-3318

Palm Beach

(561) 833-7553 9/29/2020 Private 0 Yes Regular

WEST PALM BCH Rally Point LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024519 LIC-1046433 47-5096293 SITE-00002783 1130 ELIZABETH AVE 33401-6916

Palm Beach

(888) 797-2559 7/5/2020 Private 0 Yes Regular

WEST PALM BCH Rally Point LLC Southeast C15 Intensive Outpatient Treatment COMP-024520 LIC-1046435 47-5096293 SITE-00002783 1130 ELIZABETH AVE 33401-6916

Palm Beach

(888) 797-2559 7/5/2020 Private 0 Yes Regular

WEST PALM BCH Rally Point LLC Southeast C15 Outpatient Treatment COMP-024521 LIC-1046434 47-5096293 SITE-00002783 1130 ELIZABETH AVE 33401-6916

Palm Beach

(888) 797-2559 7/5/2020 Private 0 Yes Regular

WEST PALM BCH Sequel TSI of Florida LLC Southeast C15 Outpatient Treatment COMP-025631 LIC-1045297 27-1360815 SITE-00002545 9680 WEISMAN WAY 33411-3528

Palm Beach

(256) 880-3339 10/25/2020 Public 0 No Regular

WEST PALM BCH Serenity House Detox Palm Beach, LLC Southeast C15 Inpatient Detoxification COMP-023170 LIC-1046245 45-3535656 SITE-00001483 7357 WILSON RD 33413-2240

Palm Beach

(305) 761-7318 3/15/2020 Private 17 Yes Regular

WEST PALM BCH Serenity House Detox Palm Beach, LLC Southeast C15 Residential Level 1 COMP-023169 LIC-1045130 45-3535656 SITE-00001483 7357 WILSON RD 33413-2240

Palm Beach

(305) 761-7318 3/15/2020 Private 17 Yes Regular

WEST PALM BCH The Detox Center Southeast C15 Inpatient Detoxification COMP-025620 LIC-1045376 81-2070561 SITE-00004132 2700 BROADWAY 33407-5433

Palm Beach

(561) 567-8252 8/19/2020 Private 8 No Regular

WEST PALM BCH The Detox Center Southeast C15 Residential Level 1 COMP-025622 LIC-1045411 81-2070561 SITE-00004132 2700 BROADWAY 33407-5433

Palm Beach

(561) 567-8252 8/19/2020 Private 7 No Regular

WEST PALM BCH The Good Life Treatment Center, LLC Southeast C15 Day or Night Treatment COMP-026163 LIC-1045319 47-5091142 SITE-00001958 400 EXECUTIVE CENTER DR 33401-2919

Palm Beach

(561) 870-5838 1/20/2021 Private 0 Yes Regular

WEST PALM BCH The Good Life Treatment Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-026164 LIC-1045320 47-5091142 SITE-00001958 400 EXECUTIVE CENTER DR 33401-2919

Palm Beach

(561) 870-5838 1/20/2021 Private 0 Yes Regular

WEST PALM BCH The Good Life Treatment Center, LLC Southeast C15 Outpatient Treatment COMP-026162 LIC-1045318 47-5091142 SITE-00001958 400 EXECUTIVE CENTER DR 33401-2919

Palm Beach

(561) 870-5838 1/20/2021 Private 0 Yes Regular

WEST PALM BCH The Renew Counseling Center, LLC Southeast C15 Day or Night Treatment COMP-025540 LIC-1046699 46-1528578 SITE-00004366 1509 N MILITARY TRL 33409-4765

Palm Beach

(561) 685-6934 10/19/2020 Private 0 Yes Regular

WEST PALM BCH The Renew Counseling Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025541 LIC-1046698 46-1528578 SITE-00004366 1509 N MILITARY TRL 33409-4765

Palm Beach

(561) 685-6934 10/19/2020 Private 0 Yes Regular

WEST PALM BCH The Renew Counseling Center, LLC Southeast C15 Outpatient Treatment COMP-025542 LIC-1046697 46-1528578 SITE-00004366 1509 N MILITARY TRL 33409-4765

Palm Beach

(561) 685-6934 10/19/2020 Private 0 Yes Regular

West Palm Beach 1000 Hills Recovery & Treatment Center, LLC

Southeast C15 Day or Night Treatment COMP-026332 LIC-1045562 82-2479160 SITE-00004358 2215 North Military Trl 33409 Palm Beach

(561) 932-4665 1/1/2021 Private 0 Yes Regular

West Palm Beach 1000 Hills Recovery & Treatment Center, LLC

Southeast C15 Intensive Outpatient Treatment COMP-026333 LIC-1045127 82-2479160 SITE-00004358 2215 North Military Trl 33409 Palm Beach

(561) 932-4665 1/1/2021 Private 0 Yes Regular

West Palm Beach 1000 Hills Recovery & Treatment Center, LLC

Southeast C15 Outpatient Treatment COMP-026334 LIC-1045974 82-2479160 SITE-00004358 2215 North Military Trl 33409 Palm Beach

(561) 932-4665 1/1/2021 Private 0 Yes Regular

Source: PLADS Page 89 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

West Palm Beach Affordable & Convenient Counseling, LLC

Southeast C15 Outpatient Treatment COMP-025060 LIC-1045231 45-4301504 SITE-00002019 1993 S. Military Trail 33415 Palm Beach

(305) 901-5500 7/21/2020 Private 0 No Regular

West Palm Beach ALL Addiction Recovery, LLC Southeast C15 Inpatient Detoxification COMP-026189 LIC-1046568 81-3445826 SITE-00004881 2521 Metrocentre Blvd 33407 Palm Beach

(561) 234-7558 9/3/2020 Private 32 Yes Regular

West Palm Beach ALL Addiction Recovery, LLC Southeast C15 Residential Level 1 COMP-026190 LIC-1046567 81-3445826 SITE-00004881 2521 Metrocentre Blvd 33407 Palm Beach

(561) 234-7558 9/3/2020 Private 12 Yes Regular

West Palm Beach Alternatives in Treatment Southeast C15 Inpatient Detoxification COMP-026795 LIC-1045903 65-0207798 SITE-00004597 5408 East Ave 33407 Palm Beach

(561) 332-5026 4/16/2020 Private 23 Yes Probationary

West Palm Beach Alternatives in Treatment Southeast C15 Residential Level 1 COMP-027172 LIC-1046910 65-0207798 SITE-00002294 5406 East Ave 33407 Palm Beach

(561) 332-5026 5/18/2020 Private 69 No Probationary

West Palm Beach Alternatives in Treatment Southeast C15 Residential Level 1 COMP-026796 LIC-1046910 65-0207798 SITE-00004597 5408 East Ave 33407 Palm Beach

(561) 332-5026 4/16/2020 Private 10 Yes Probationary

West Palm Beach Ambrosia South, LLC Southeast C15 Day or Night Treatment COMP-025689 LIC-1047293 27-3799814 SITE-00000117 222 Picadilly Street 33407 Palm Beach

(561) 578-8600 8/24/2020 Private 0 Yes Regular

West Palm Beach Ambrosia South, LLC Southeast C15 Intensive Outpatient Treatment COMP-025219 LIC-1046786 27-3799814 SITE-00000117 222 Picadilly Street 33407 Palm Beach

(561) 578-8600 11/4/2020 Private 0 Yes Regular

West Palm Beach Ambrosia South, LLC Southeast C15 Residential Level 2 COMP-025222 LIC-1046787 27-3799814 SITE-00000771 2010 Ponce De Leon Avenue 33407 Palm Beach

(561) 578-8600 8/24/2020 Private 21 Yes Regular

West Palm Beach Ambrosia South, LLC Southeast C15 Residential Level 5 COMP-025221 LIC-1046785 27-3799814 SITE-00000771 2010 Ponce De Leon Avenue 33407 Palm Beach

(561) 578-8600 8/24/2020 Private 15 Yes Regular

West Palm Beach Beachside Detox, LLC Southeast C15 Inpatient Detoxification COMP-026920 LIC-1045177 32-0532792 SITE-00005353 1101 54th Street 33407 Palm Beach

(772) 252-1125 1/27/2021 Private 14 Yes Regular

West Palm Beach Beachside Detox, LLC Southeast C15 Residential Level 1 COMP-026919 LIC-1045176 32-0532792 SITE-00005353 1101 54th Street 33407 Palm Beach

(772) 252-1125 1/27/2021 Private 22 Yes Regular

West Palm Beach Beachway Therapy Center, LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-025724 LIC-1046751 27-1450252 SITE-00005182 1700 N Dixie Highway 33407 Palm Beach

(561) 865-5896 7/28/2020 Private 0 Yes Regular

West Palm Beach Beachway Therapy Center, LLC Southeast C15 Inpatient Detoxification COMP-025294 LIC-1047268 27-1450252 SITE-00005241 317 N Lakeside Court 33407 Palm Beach

(561) 865-5896 7/28/2020 Private 12 Yes Regular

West Palm Beach Beachway Therapy Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025725 LIC-1046757 27-1450252 SITE-00005182 1700 N Dixie Highway 33407 Palm Beach

(561) 865-5896 7/28/2020 Private 0 Yes Regular

West Palm Beach Beachway Therapy Center, LLC Southeast C15 Outpatient Treatment COMP-025726 LIC-1046756 27-1450252 SITE-00005182 1700 N Dixie Highway 33407 Palm Beach

(561) 865-5896 7/28/2020 Private 0 Yes Regular

West Palm Beach Beachway Therapy Center, LLC Southeast C15 Residential Level 1 COMP-025295 LIC-1047270 27-1450252 SITE-00005241 317 N Lakeside Court 33407 Palm Beach

(561) 865-5896 7/28/2020 Private 16 Yes Regular

West Palm Beach Camelot Community Care, Inc. Southeast C15 Outpatient Treatment COMP-023938 LIC-1047152 31-1659302 SITE-00004795 1100 45th Street Building A 33407 Palm Beach

(727) 593-0003 4/1/2020 Public 0 Yes Regular

West Palm Beach Center for Family Services of Palm Beach County, Inc.

Southeast C15 Outpatient Treatment COMP-024679 LIC-1045950 59-1084179 SITE-00000050 4101 Parker Avenue 33405 Palm Beach

(561) 616-1222 6/17/2020 Public 0 Yes Regular

West Palm Beach Chapel Hill Medical Services LLC Southeast C15 Inpatient Detoxification COMP-025722 LIC-1046767 82-3452514 SITE-00004879 4308 Miller Ave 33405 Palm Beach

(561) 570-5091 11/11/2020 Private 12 Yes Regular

West Palm Beach Chapel Hill Medical Services LLC Southeast C15 Residential Level 1 COMP-025721 LIC-1046768 82-3452514 SITE-00004879 4308 Miller Ave 33405 Palm Beach

(561) 570-5091 11/11/2020 Private 2 Yes Regular

West Palm Beach Clean & Sober Recovery Center, Inc. dba Better Tomorrow Treatment Center

Southeast C15 Day or Night Treatment COMP-026609 LIC-1047391 82-1631701 SITE-00004690 901 NORTHPOINT PKWY 33407-1953

Palm Beach

(561) 444-6140 5/4/2020 Private 0 No Probationary

West Palm Beach Clean & Sober Recovery Center, Inc. dba Better Tomorrow Treatment Center

Southeast C15 Intensive Outpatient Treatment COMP-024290 LIC-1046123 82-1631701 SITE-00004690 901 NORTHPOINT PKWY 33407-1953

Palm Beach

(561) 444-6140 6/16/2020 Private 0 No Regular

West Palm Beach Clean & Sober Recovery Center, Inc. dba Better Tomorrow Treatment Center

Southeast C15 Outpatient Treatment COMP-024289 LIC-1046122 82-1631701 SITE-00004690 901 NORTHPOINT PKWY 33407-1953

Palm Beach

(561) 444-6140 6/16/2020 Private 0 No Regular

Source: PLADS Page 90 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

West Palm Beach Desert Rose FL, LLC Southeast C15 Day or Night Treatment COMP-025359 LIC-1047217 46-3755392 SITE-00004101 357 Hiatt Drive 33418 Palm Beach

(561) 459-8951 8/3/2020 Private 0 Yes Regular

West Palm Beach Desert Rose FL, LLC Southeast C15 Intensive Outpatient Treatment COMP-025360 LIC-1047218 46-3755392 SITE-00004101 357 Hiatt Drive 33418 Palm Beach

(561) 459-8951 8/3/2020 Private 0 Yes Regular

West Palm Beach Desert Rose FL, LLC Southeast C15 Outpatient Treatment COMP-025361 LIC-1046415 46-3755392 SITE-00004101 357 Hiatt Drive 33418 Palm Beach

(561) 459-8951 8/3/2020 Private 0 Yes Regular

West Palm Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Aftercare COMP-023851 LIC-1045711 23-7074625 SITE-00002479 5601 Corporate Way, Suite 301 33407 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Case Management COMP-023850 LIC-1045724 23-7074625 SITE-00002479 5601 Corporate Way, Suite 301 33407 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 General Intervention COMP-023849 LIC-1045722 23-7074625 SITE-00002479 5601 Corporate Way, Suite 301 33407 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Level 1 Prevention COMP-023852 LIC-1045705 23-7074625 SITE-00002479 5601 Corporate Way, Suite 301 33407 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Foundation of Palm Beach County, Inc.

Southeast C15 Outpatient Treatment COMP-023847 LIC-1045723 23-7074625 SITE-00002479 5601 Corporate Way, Suite 301 33407 Palm Beach

(561) 278-0000 4/29/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 General Intervention COMP-023166 LIC-1045787 59-1363887 SITE-00000067 1720 East Tiffany Drive 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 Level 1 Prevention COMP-023165 LIC-1045788 59-1363887 SITE-00000067 1720 East Tiffany Drive 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 Level 2 Prevention COMP-023173 LIC-1045766 59-1363887 SITE-00000067 1720 East Tiffany Drive 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 Outpatient Treatment COMP-023156 LIC-1045747 59-1363887 SITE-00000067 1720 East Tiffany Drive 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 0 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 Residential Level 2 COMP-023175 LIC-1045748 59-1363887 SITE-00000070 1041 45th Street 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 24 Yes Regular

West Palm Beach Drug Abuse Treatment Association, Inc. (DATA)

Southeast C15 Treatment Alternatives for Safer Communities

COMP-023446 LIC-1045749 59-1363887 SITE-00000067 1720 East Tiffany Drive 33407 Palm Beach

(561) 743-1034 5/25/2020 Public 0 Yes Regular

West Palm Beach Drug Testing and Counseling Services, Inc.

Southeast C15 Outpatient Treatment COMP-024754 LIC-1046076 20-3218543 SITE-00003471 2677 Forest Hill Boulevard, Suite 102 33406 Palm Beach

(561) 433-0123 7/8/2020 Private 0 No Regular

West Palm Beach Family Health Counseling Center, Inc. Southeast C15 Outpatient Treatment COMP-024753 LIC-1046159 20-2528862 SITE-00001033 2677 Forest Hill Blvd. 33406 Palm Beach

(561) 433-0123 7/8/2020 Private 0 No Regular

West Palm Beach First Step Medical, LLC Southeast C15 Inpatient Detoxification COMP-022943 LIC-1045751 61-1669232 SITE-00003111 4384 Purdy Lane 33406 Palm Beach

(786) 942-0502 4/16/2020 Private 13 Yes Regular

West Palm Beach First Step Medical, LLC Southeast C15 Intensive Inpatient Treatment COMP-022926 LIC-1045752 61-1669232 SITE-00003111 4384 Purdy Lane 33406 Palm Beach

(786) 942-0502 4/16/2020 Private 2 Yes Regular

West Palm Beach First Step Medical, LLC Southeast C15 Outpatient Detoxification COMP-022942 LIC-1045750 61-1669232 SITE-00003111 4384 Purdy Lane 33406 Palm Beach

(786) 942-0502 4/16/2020 Private 0 Yes Regular

West Palm Beach Futures Outpatient Group LLC Southeast C15 Intensive Outpatient Treatment COMP-026549 LIC-1047098 81-1031865 SITE-00001962 4700 North Congress Avenue, Suite 104 33407 Palm Beach

(561) 935-4155 1/24/2021 Private 0 Yes Regular

West Palm Beach Futures Outpatient Group LLC Southeast C15 Outpatient Treatment COMP-026548 LIC-1047097 81-1031865 SITE-00001962 4700 North Congress Avenue, Suite 104 33407 Palm Beach

(561) 935-4155 1/24/2021 Private 0 Yes Regular

West Palm Beach Hanley Center Foundation Inc Southeast C15 Level 1 Prevention COMP-024095 LIC-1045481 20-2871945 SITE-00004631 700 South Dixie Highway 33401 Palm Beach

(561) 268-2350 6/30/2020 Public 0 Yes Regular

West Palm Beach Harm Reduction Center, LLC Southeast C15 Day or Night Treatment COMP-025575 LIC-1046444 82-3684525 SITE-00004784 2801 N Flagler Dr 33407 Palm Beach

(818) 261-1153 10/4/2020 Private 0 Yes Regular

West Palm Beach Harm Reduction Center, LLC Southeast C15 Intensive Outpatient Treatment COMP-025576 LIC-1046445 82-3684525 SITE-00004784 2801 N Flagler Dr 33407 Palm Beach

(818) 261-1153 10/4/2020 Private 0 Yes Regular

West Palm Beach Harm Reduction Center, LLC Southeast C15 Outpatient Treatment COMP-025574 LIC-1046446 82-3684525 SITE-00004784 2801 N Flagler Dr 33407 Palm Beach

(818) 261-1153 10/4/2020 Private 0 Yes Regular

Source: PLADS Page 91 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

West Palm Beach Heal Behavioral Health Inc. Southeast C15 Day or Night Treatment with Community Housing

COMP-025693 LIC-1047324 83-4388323 SITE-00005196 1700 Old Okeechobee Road 33409 Palm Beach

(561) 614-1946 10/12/2020 Private 0 No Regular

West Palm Beach Heal Behavioral Health Inc. Southeast C15 Intensive Outpatient Treatment COMP-025694 LIC-1047325 83-4388323 SITE-00005196 1700 Old Okeechobee Road 33409 Palm Beach

(561) 614-1946 10/12/2020 Private 0 No Regular

West Palm Beach Heal Behavioral Health Inc. Southeast C15 Outpatient Treatment COMP-025695 LIC-1047326 83-4388323 SITE-00005196 1700 Old Okeechobee Road 33409 Palm Beach

(561) 614-1946 10/12/2020 Private 0 No Regular

West Palm Beach Housing Partnership, Inc. Southeast C15 Residential Level 5 COMP-025217 LIC-1045070 59-2704597 SITE-00003580 2865 Melaleuca Drive 33406 Palm Beach

(561) 841-3500 8/28/2020 Public 18 No Regular

West Palm Beach i-Kare Treatment Center LLC Southeast C15 Day or Night Treatment COMP-026175 LIC-1046963 47-1751649 SITE-00000505 2200 North Florida Mango Road 33409 Palm Beach

(561) 331-8453 12/12/2020 Private 0 Yes Regular

West Palm Beach i-Kare Treatment Center LLC Southeast C15 Intensive Outpatient Treatment COMP-026173 LIC-1046965 47-1751649 SITE-00000505 2200 North Florida Mango Road 33409 Palm Beach

(561) 331-8453 12/12/2020 Private 0 Yes Regular

West Palm Beach i-Kare Treatment Center LLC Southeast C15 Outpatient Treatment COMP-025700 LIC-1046964 47-1751649 SITE-00000505 2200 North Florida Mango Road 33409 Palm Beach

(561) 331-8453 12/12/2020 Private 0 Yes Regular

West Palm Beach Inspire Recovery, LLC Southeast C15 Day or Night Treatment COMP-024716 LIC-1046125 47-2360496 SITE-00001032 909 N Dixie Highway 33401 Palm Beach

(561) 899-6088 6/26/2020 Private 0 Yes Regular

West Palm Beach Inspire Recovery, LLC Southeast C15 Intensive Outpatient Treatment COMP-024715 LIC-1046126 47-2360496 SITE-00001032 909 N Dixie Highway 33401 Palm Beach

(561) 899-6088 6/26/2020 Private 0 Yes Regular

West Palm Beach Inspire Recovery, LLC Southeast C15 Outpatient Treatment COMP-024708 LIC-1046127 47-2360496 SITE-00001032 909 N Dixie Highway 33401 Palm Beach

(561) 899-6088 6/26/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Day or Night Treatment COMP-023588 LIC-1045671 47-2218788 SITE-00000516 5200 East Avenue 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Day or Night Treatment with Community Housing

COMP-023585 LIC-1045675 47-2218788 SITE-00000516 5200 East Avenue 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Day or Night Treatment with Community Housing

COMP-023582 LIC-1045675 47-2218788 SITE-00004767 933 45th street 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Inpatient Detoxification COMP-023592 LIC-1045672 47-2218788 SITE-00000516 5200 East Avenue 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 11 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Intensive Outpatient Treatment COMP-023584 LIC-1045673 47-2218788 SITE-00004767 933 45th street 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Outpatient Treatment COMP-023648 LIC-1047162 47-2218788 SITE-00000516 5200 East Avenue 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Outpatient Treatment COMP-023637 LIC-1047162 47-2218788 SITE-00004767 933 45th street 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 0 Yes Regular

West Palm Beach Origins Behavioral Healthcare of Florida, LLC

Southeast C15 Residential Level 1 COMP-023590 LIC-1045674 47-2218788 SITE-00000516 5200 East Avenue 33407 Palm Beach

(561) 841-1000 4/8/2020 Private 80 Yes Regular

West Palm Beach PACE Center for Girls, Inc. Southeast C15 Level 1 Prevention COMP-024243 LIC-1045495 59-2414492 SITE-00004447 1225 South Military Trail 33415 Palm Beach

(904) 448-8002 6/6/2020 Public 0 No Regular

West Palm Beach PACE Center for Girls, Inc. Southeast C15 Level 2 Prevention COMP-024244 LIC-1045494 59-2414492 SITE-00004447 1225 South Military Trail 33415 Palm Beach

(904) 448-8002 6/6/2020 Public 0 No Regular

West Palm Beach Palm Beach Recovery, LLC Southeast C15 Inpatient Detoxification COMP-026194 LIC-1045309 81-3914459 SITE-00003232 1017 N. Olive Avenue 33401 Palm Beach

(561) 833-7553 9/29/2020 Private 9 Yes Regular

West Palm Beach Palm Beach Recovery, LLC Southeast C15 Residential Level 1 COMP-026193 LIC-1045308 81-3914459 SITE-00003232 1017 N. Olive Avenue 33401 Palm Beach

(561) 833-7553 9/29/2020 Private 23 Yes Regular

West Palm Beach Partners in Treatment, Inc. d/b/a Rise to Recovery

Southeast C15 Intensive Outpatient Treatment COMP-026211 LIC-1047005 45-5097413 SITE-00003310 1489 Military Trail, Suite #114 33409 Palm Beach

(561) 632-5663 1/29/2021 Private 0 Yes Regular

West Palm Beach Partners in Treatment, Inc. d/b/a Rise to Recovery

Southeast C15 Outpatient Treatment COMP-026212 LIC-1045095 45-5097413 SITE-00003310 1489 Military Trail, Suite #114 33409 Palm Beach

(561) 632-5663 1/29/2021 Private 0 Yes Regular

West Palm Beach Peace of Mind Counseling Services, Inc. Southeast C15 Day or Night Treatment COMP-024722 LIC-1046353 27-0989314 SITE-00005193 950 Evernia Street 33409 Palm Beach

(561) 469-0791 8/3/2020 Private 0 Yes Regular

Source: PLADS Page 92 of 95

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Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

West Palm Beach Peace of Mind Counseling Services, Inc. Southeast C15 Intensive Outpatient Treatment COMP-024723 LIC-1046381 27-0989314 SITE-00005193 950 Evernia Street 33409 Palm Beach

(561) 469-0791 8/3/2020 Private 0 Yes Regular

West Palm Beach Peace of Mind Counseling Services, Inc. Southeast C15 Outpatient Treatment COMP-024724 LIC-1046427 27-0989314 SITE-00005193 950 Evernia Street 33409 Palm Beach

(561) 469-0791 8/3/2020 Private 0 Yes Regular

West Palm Beach Pendulum Detox, LLC Southeast C15 Inpatient Detoxification COMP-025092 LIC-1047355 83-2655180 SITE-00005228 2901 Broadway Ave 33407 Palm Beach

(561) 706-7224 3/17/2020 Private 14 No Probationary

West Palm Beach Pendulum Detox, LLC Southeast C15 Residential Level 1 COMP-025093 LIC-1047356 83-2655180 SITE-00005228 2901 Broadway Ave 33407 Palm Beach

(561) 706-7224 3/17/2020 Private 2 No Probationary

West Palm Beach Recreate Behavioral Health Network LLC dba Allure Detox LLC

Southeast C15 Inpatient Detoxification COMP-025272 LIC-1047308 81-3144952 SITE-00005240 900 54th Street 33407 Palm Beach

(561) 405-9062 4/9/2020 Private 17 Yes Regular

West Palm Beach Recreate Behavioral Health Network LLC dba Allure Detox LLC

Southeast C15 Residential Level 1 COMP-025274 LIC-1047307 81-3144952 SITE-00005240 900 54th Street 33407 Palm Beach

(561) 405-9062 4/9/2020 Private 4 Yes Regular

West Palm Beach Rehab South Florida LLC Southeast C15 Day or Night Treatment with Community Housing

COMP-024596 LIC-1045658 82-3653495 SITE-00004591 4460 Medical Center Way 33407 Palm Beach

(561) 408-0446 4/28/2020 Private 0 Yes Regular

West Palm Beach Rehab South Florida LLC Southeast C15 Intensive Outpatient Treatment COMP-024598 LIC-1045598 82-3653495 SITE-00004591 4460 Medical Center Way 33407 Palm Beach

(561) 408-0446 4/28/2020 Private 0 Yes Regular

West Palm Beach Rehab South Florida LLC Southeast C15 Outpatient Treatment COMP-024602 LIC-1045599 82-3653495 SITE-00004591 4460 Medical Center Way 33407 Palm Beach

(561) 408-0446 4/28/2020 Private 0 Yes Regular

West Palm Beach Relax Behavioral Health LLC Southeast C15 Intensive Outpatient Treatment COMP-024371 LIC-1046066 81-4606447 SITE-00004684 2809 POINSETTIA AVE WEST PALM BEACH, FL 33407

33407 Palm Beach

(561) 469-9934 6/16/2020 Private 0 No Regular

West Palm Beach Relax Behavioral Health LLC Southeast C15 Outpatient Detoxification COMP-024360 LIC-1046067 81-4606447 SITE-00004684 2809 POINSETTIA AVE WEST PALM BEACH, FL 33407

33407 Palm Beach

(561) 469-9934 6/16/2020 Private 0 No Regular

West Palm Beach Relax Behavioral Health LLC Southeast C15 Outpatient Methadone Detoxification COMP-025067 LIC-1047350 81-4606447 SITE-00004684 2809 POINSETTIA AVE WEST PALM BEACH, FL 33407

33407 Palm Beach

(561) 469-9934 12/1/2020 Private 0 No Regular

West Palm Beach Relax Behavioral Health LLC Southeast C15 Outpatient Treatment COMP-024372 LIC-1046065 81-4606447 SITE-00004684 2809 POINSETTIA AVE WEST PALM BEACH, FL 33407

33407 Palm Beach

(561) 469-9934 6/16/2020 Private 0 No Regular

West Palm Beach Resolutions Medical Services, Inc. Southeast C15 Outpatient Detoxification COMP-025524 LIC-1047302 20-4905155 SITE-00002477 2151 45th Street, Suite 108 33407 Palm Beach

(561) 863-4117 7/23/2020 Public 0 No Regular

West Palm Beach Resolutions Medical Services, Inc. Southeast C15 Outpatient Treatment COMP-024872 LIC-1045186 20-4905155 SITE-00002477 2151 45th Street, Suite 108 33407 Palm Beach

(561) 863-4117 7/23/2020 Private 0 No Regular

West Palm Beach SequelCare of Florida, LLC Southeast C15 Outpatient Treatment COMP-024883 LIC-1047262 90-0341538 SITE-00002290 5303 Greenwood Avenue 33407 Palm Beach

(727) 547-0607 7/14/2020 Private 0 No Regular

West Palm Beach Serene Beginnings, LLC Southeast C15 Intensive Outpatient Treatment COMP-025708 LIC-1046464 38-4045191 SITE-00004797 2230 West Atlantic Avenue 33445 Palm Beach

(561) 945-0244 9/9/2020 Private 0 Yes Regular

West Palm Beach Serene Beginnings, LLC Southeast C15 Outpatient Treatment COMP-025766 LIC-1047022 38-4045191 SITE-00004797 2230 West Atlantic Avenue 33445 Palm Beach

(561) 945-0244 9/9/2020 Private 0 No Regular

West Palm Beach The Haven Detox LLC Southeast C15 Inpatient Detoxification COMP-023940 LIC-1045944 46-5692740 SITE-00000717 1325 North Haverhill Road 33417 Palm Beach

(561) 815-1402 3/30/2020 Private 40 Yes Regular

West Palm Beach The Haven Detox LLC Southeast C15 Intensive Inpatient Treatment COMP-023941 LIC-1047148 46-5692740 SITE-00000717 1325 North Haverhill Road 33417 Palm Beach

(561) 815-1402 3/30/2020 Private 4 Yes Regular

West Palm Beach The Haven Detox LLC Southeast C15 Residential Level 1 COMP-023970 LIC-1045943 46-5692740 SITE-00000717 1325 North Haverhill Road 33417 Palm Beach

(561) 815-1402 3/30/2020 Private 12 Yes Regular

WILTON MANORS PACE Center for Girls, Inc. Southeast C17 General Intervention COMP-024262 LIC-1045973 59-2414492 SITE-00000488 2225 N ANDREWS AVE 33311-3922

Broward (904) 448-8002 6/6/2020 Public 0 No Regular

WILTON MANORS PACE Center for Girls, Inc. Southeast C17 Level 1 Prevention COMP-024258 LIC-1045495 59-2414492 SITE-00000488 2225 N ANDREWS AVE 33311-3922

Broward (904) 448-8002 6/6/2020 Public 0 No Regular

WILTON MANORS PACE Center for Girls, Inc. Southeast C17 Level 2 Prevention COMP-024259 LIC-1045494 59-2414492 SITE-00000488 2225 N ANDREWS AVE 33311-3922

Broward (904) 448-8002 6/6/2020 Public 0 No Regular

WILTON MANORS Sunshine Social Services, Inc. Southeast C17 Case Management COMP-025602 LIC-1046670 01-0582371 SITE-00001852 2312 WILTON DR 33305-1249

Broward (954) 764-5150 7/7/2020 Public 0 No Regular

Source: PLADS Page 93 of 95

Page 94: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

WILTON MANORS Sunshine Social Services, Inc. Southeast C17 Level 2 Prevention COMP-025601 LIC-1046671 01-0582371 SITE-00001852 2312 WILTON DR 33305-1249

Broward (954) 764-5150 7/7/2020 Private 0 No Regular

WILTON MANORS Sunshine Social Services, Inc. Southeast C17 Outpatient Treatment COMP-024373 LIC-1047258 01-0582371 SITE-00001852 2312 WILTON DR 33305-1249

Broward (954) 764-5150 7/7/2020 Public 0 No Regular

WILTON MANORS The Chrysalis Center, Inc. d/b/a Chrysalis Health

Southeast C17 Intensive Outpatient Treatment COMP-025127 LIC-1046518 20-1966531 SITE-00000025 1061 W OAKLAND PARK BLVD 33311-1600

Broward (954) 587-1008 9/30/2020 Private 0 Yes Regular

Wilton Manors The Way Home Treatment Center Southeast C17 Intensive Outpatient Treatment COMP-025150 LIC-1046441 82-4572426 SITE-00004801 1100 W Oakland Park Blvd. 33311 Broward (954) 699-3813 9/3/2020 Private 0 No RegularWilton Manors The Way Home Treatment Center Southeast C17 Outpatient Treatment COMP-025151 LIC-1046442 82-4572426 SITE-00004801 1100 W Oakland Park Blvd. 33311 Broward (954) 699-3813 9/3/2020 Private 0 No RegularWimauma AMIkids YES, Inc. Suncoast C13 Outpatient Treatment COMP-026202 LIC-1045501 59-3217810 SITE-00000806 4337 Saffold Road 33598 Hillsborou

gh(813) 671-5213 2/27/2021 Private 0 No Regular

Winter Haven Behavioral Choices, Inc. Central C10 Aftercare COMP-024206 LIC-1045948 59-3446463 SITE-00001238 316 Avenue A, N.W. 33881 Polk (863) 298-9188 6/5/2020 Public 0 No RegularWinter Haven Behavioral Choices, Inc. Central C10 Outpatient Treatment COMP-024169 LIC-1045947 59-3446463 SITE-00001238 316 Avenue A, N.W. 33881 Polk (863) 298-9188 6/5/2020 Public 0 No RegularWINTER HAVEN Tri-County Human Services, Inc. Central C10 Aftercare COMP-025472 LIC-1046570 59-1708182 SITE-00001569 650 AVENUE K NW 33881-

4032Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

WINTER HAVEN Tri-County Human Services, Inc. Central C10 Case Management COMP-025473 LIC-1046576 59-1708182 SITE-00001569 650 AVENUE K NW 33881-4032

Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

WINTER HAVEN Tri-County Human Services, Inc. Central C10 Intensive Outpatient Treatment COMP-025515 LIC-1046532 59-1708182 SITE-00001569 650 AVENUE K NW 33881-4032

Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

WINTER HAVEN Tri-County Human Services, Inc. Central C10 Outpatient Treatment COMP-025471 LIC-1046571 59-1708182 SITE-00001569 650 AVENUE K NW 33881-4032

Polk (863) 709-9392 9/26/2020 Public 0 Yes Regular

WINTER HAVEN Tri-County Human Services, Inc. Central C10 Residential Level 3 COMP-025507 LIC-1046574 59-1708182 SITE-00002856 759 CARROLL AVE SW 33880-2819

Polk (863) 709-9392 9/26/2020 Public 10 Yes Regular

Winter Haven White Sands Treatment Center Tampa, LLC

Central C10 Outpatient Treatment COMP-027107 LIC-1046607 81-3488022 SITE-00005356 120 West Central Avenue, 33880 Polk (813) 756-5660 5/18/2020 Private 0 Yes Probationary

Winter Haven WINTER HAVEN HOSPITAL Central C10 Outpatient Treatment COMP-024450 LIC-1047173 59-0724462 SITE-00004967 1201 First St South 33880 Polk (863) 293-1121 4/21/2020 Public 0 Yes RegularWINTER PARK La Amistad Behavioral Health Services Central C09 Day or Night Treatment COMP-024008 LIC-1046348 58-1791069 SITE-00000169 1600 DODD RD 32792-

9408Orange (407) 647-0060 6/14/2020 Private 0 Yes Regular

WINTER PARK La Amistad Behavioral Health Services Central C09 Intensive Outpatient Treatment COMP-024009 LIC-1046349 58-1791069 SITE-00000169 1600 DODD RD 32792-9408

Orange (407) 647-0060 6/14/2020 Private 0 Yes Regular

WINTER PARK La Amistad Behavioral Health Services Central C09 Residential Level 2 COMP-024007 LIC-1046350 58-1791069 SITE-00000169 1600 DODD RD 32792-9408

Orange (407) 647-0060 6/14/2020 Private 10 Yes Regular

WINTER PARK PACE Center for Girls, Inc. Central C09 Level 1 Prevention COMP-024241 LIC-1045495 59-2414492 SITE-00004446 445 N WYMORE RD 32789-2898

Orange (904) 448-8002 6/6/2020 Public 0 No Regular

WINTER PARK PACE Center for Girls, Inc. Central C09 Level 2 Prevention COMP-024242 LIC-1045494 59-2414492 SITE-00004446 445 N WYMORE RD 32789-2898

Orange (904) 448-8002 6/6/2020 Public 0 No Regular

Winter Park Professional Treatment Centers Central C09 Outpatient Treatment COMP-026030 LIC-1046973 83-1118264 SITE-00005203 7151 University Blvd 34787 Orange (407) 667-0881 11/12/2020 Private 0 No Regular

Winter Park South Eastern Counseling Center, Inc. Central C09 Outpatient Treatment COMP-024737 LIC-1046208 47-3782925 SITE-00002590 2445 Lee Road 32789 Orange (407) 599-2073 5/19/2020 Private 0 No Regular

Winter Park White Sands Treatment Center Tampa, LLC

Central C09 Intensive Outpatient Treatment COMP-026690 LIC-1045400 81-3488022 SITE-00004902 1950 Lee Rd 32789 Orange (813) 756-5660 4/28/2020 Private 0 Yes Probationary

Winter Park White Sands Treatment Center Tampa, LLC

Central C09 Outpatient Treatment COMP-024561 LIC-1046607 81-3488022 SITE-00004902 1950 Lee Rd 32789 Orange (813) 756-5660 3/6/2020 Private 0 Yes Regular

Winter Park White Sands Treatment Center Tampa, LLC

Central C09 Outpatient Treatment COMP-026620 LIC-1046607 81-3488022 SITE-00004902 1950 Lee Rd 32789 Orange (813) 756-5660 11/3/2020 Private 0 Yes Regular

Winter Springs IMPOWER Central C18 Aftercare COMP-025158 LIC-1047206 65-0439778 SITE-00000315 580 Old Sanford-Oviedo Road 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularWinter Springs IMPOWER Central C18 Day or Night Treatment COMP-025157 LIC-1047207 65-0439778 SITE-00000315 580 Old Sanford-Oviedo Road 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularWinter Springs IMPOWER Central C18 Outpatient Treatment COMP-025156 LIC-1047210 65-0439778 SITE-00000315 580 Old Sanford-Oviedo Road 32750 Seminole (407) 215-0095 8/9/2020 Public 0 Yes RegularWinter Springs IMPOWER Central C18 Residential Level 2 COMP-025155 LIC-1047216 65-0439778 SITE-00000315 580 Old Sanford-Oviedo Road 32750 Seminole (407) 215-0095 8/9/2020 Public 70 Yes RegularWoodville DISC Village, Inc. Northwest C02 Residential Level 4 COMP-026565 LIC-1045418 59-1491338 SITE-00001545 2967 Natural Bridge Road 32362 Leon (850) 575-4388 2/28/2021 Public 8 Yes Regular

Source: PLADS Page 94 of 95

Page 95: Licensed Substance Abuse Provider Components as of March 3 ... · Altoona Palm Beach Recovery, LLC Central C05 Intensive Outpatient Treatment COMP-023570 LIC-1045584 81-3914459 SITE-00005052

Licensed Substance Abuse Provider Components as of March 3, 2020

City Service Provider Legal Name Region Circuit Component Component ID License NumberFederal

Employer ID Site ID Physical Address Zipcode County PhoneExpiration

DateFunding

TypeLicensed Bed

Capacity Accredited License State

Yulee McPherson Counseling Services, Inc. Northeast C04 General Intervention COMP-022993 LIC-1045499 27-0901467 SITE-00002213 850310 US Hwy 17 32097 Nassau (904) 548-0160 3/10/2020 Private 0 No Regular

Yulee Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 Case Management COMP-023576 LIC-1045913 59-3029469 SITE-00001972 463142 State Road 200 West 32097 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Yulee Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 General Intervention COMP-023577 LIC-1045914 59-3029469 SITE-00001972 463142 State Road 200 West 32097 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Yulee Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 Level 1 Prevention COMP-025257 LIC-1047300 59-3029469 SITE-00001972 463142 State Road 200 West 32097 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Yulee Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 Level 2 Prevention COMP-023578 LIC-1045993 59-3029469 SITE-00001972 463142 State Road 200 West 32097 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Yulee Nassau Cty MH Alc & Drug Abuse Council, Inc.

Northeast C04 Outpatient Treatment COMP-023575 LIC-1045912 59-3029469 SITE-00001972 463142 State Road 200 West 32097 Nassau (904) 225-8280 4/21/2020 Public 0 Yes Regular

Zephyrhills Pinellas Ex-Offender Re-Entry Coalition, Inc.

Suncoast C06 Aftercare COMP-023748 LIC-1047065 59-3643636 SITE-00004911 36825 State Road 54 33541 Pasco (855) 505-7372 3/30/2020 Public 0 No Regular

Zephyrhills Pinellas Ex-Offender Re-Entry Coalition, Inc.

Suncoast C06 Outpatient Treatment COMP-023750 LIC-1045379 59-3643636 SITE-00004911 36825 State Road 54 33541 Pasco (855) 505-7372 3/30/2020 Public 0 Yes Regular

Zephyrhills Sober Solutions Counseling, Inc. Suncoast C06 Outpatient Treatment COMP-024983 LIC-1046358 45-2932083 SITE-00002131 5014 Mission Square 33541 Pasco (727) 372-2010 8/15/2020 Public 0 No RegularZephyrhills WestCare Gulfcoast-Florida, Inc. Suncoast C06 Aftercare COMP-024427 LIC-1045835 59-3714627 SITE-00004865 7068 Fort King Road 33541 Pasco (727) 490-6767 7/15/2020 Public 0 No RegularZephyrhills WestCare Gulfcoast-Florida, Inc. Suncoast C06 Outpatient Treatment COMP-024426 LIC-1045836 59-3714627 SITE-00004865 7068 Fort King Road 33541 Pasco (727) 490-6767 7/15/2020 Public 0 Yes Regular

Source: PLADS Page 95 of 95