The Recovery Village

NPI 1265856017 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1265856017
Enumeration Date 02/14/2014
Last Updated 05/06/2015
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name SAMUEL KEITH SAMUEL
Position CHIEF MEDICAL OFFICER
Phone (352) 669-8000
Fax
Practice Location
633 UMATILLA BLVD.
THE RECOVERY VILLAGE
UMATILLA FL, 32784, US
Phone (352) 669-8000
Fax
Business Location
100 SE THIRD AVE
SUITE 1102
FT. LAUDERDALE FL, 33394, US
Phone (754) 300-3120
Fax
Toxanomy
Taxonomy Code 324500000X
License State
License Number
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According to our database, The Recovery Village NPI is 1265856017, taxonomy code is 324500000X The Recovery Village physically located at 633 Umatilla Blvd., Umatilla FL, 32784. NPI Number 1033115704 has the healthcare provider type.

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1265856017 NPI number is provided on an as is basis without warranty of any kind. 1265856017 is maintained by the National Plan & Provider Enumeration System. The contents of The Recovery Village are for informational purposes only.