Elevate Youth Recovery, LLC
Clinic/Center, Adolescent and Children Mental Health in Davie, FL. Organization (NPI-2).
NPI number1861380974
StatusActive
Last updated in NPPESJun 26, 2025
Details
- NPI
- 1861380974
- Entity type
- Organization (NPI-2)
- Legal business name
- Elevate Youth Recovery, LLC
- Organization subpart
- No
- Enumeration date
- Jun 26, 2025
- Certification date
- Jun 26, 2025
- Last updated
- Jun 26, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 3245S0500X | Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | – | – |
Practice location
6530 Griffin RdDavie, FL 33314-4301
Phone 954-857-4976
Mailing address
951 W Yamato Rd Ste 100Boca Raton, FL 33431-4437
Authorized official
Emily Funkhouser
Director
9548574976
Is something wrong?
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