Recovery Resort Group LLC
Psychiatry & Neurology, Addiction Psychiatry in Wellington, FL. Organization (NPI-2).
NPI number1982145520
StatusActive
Last updated in NPPESJun 11, 2019
Details
- NPI
- 1982145520
- Entity type
- Organization (NPI-2)
- Legal business name
- Recovery Resort Group LLC
- Organization subpart
- No
- Enumeration date
- Mar 15, 2017
- Last updated
- Jun 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology, Addiction Psychiatry | ME94575 | FL | Yes |
| 171100000X | Acupuncturist | – | – | |
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | – | FL | |
| 133N00000X | Nutritionist | ND 2162 | FL | |
| 163WP0808X | Registered Nurse, Psych/Mental Health | RN 9269366 | FL |
Other names
- Recovery Resort Group (Other Name)
Practice location
15854 Bent Creek RdWellington, FL 33414-6382
Phone 561-370-4921
Mailing address
15854 Bent Creek Rd Ste 202Wellington, FL 33414-6382
Phone 561-370-4921
Authorized official
Debra Moser
Administrative Director
5613704921
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