Organization · NPI-2
Frontline Recovery Center, INC
Clinic/Center, Recovery Care · North Lauderdale, FL
NPI number1629687520
StatusActive
Last updated in NPPESJul 27, 2020
Details
- NPI
- 1629687520
- Entity type
- Organization (NPI-2)
- Legal business name
- Frontline Recovery Center, INC
- Organization subpart
- No
- Enumeration date
- Jul 27, 2020
- Certification date
- Jul 27, 2020
- Last updated
- Jul 27, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QR0800X | Clinic/Center, Recovery Care | – | – | Yes |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – | |
| 324500000X | Substance Abuse Rehabilitation Facility | – | – |
Practice location
6503 Sw 19th StNorth Lauderdale, FL 33068-4808
Phone 786-273-1807
Mailing address
6503 Sw 19th StNorth Lauderdale, FL 33068-4808
Phone 786-273-1807
Authorized official
Herve Franck
Ceo
7862731807
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