SEACREST RECOVERY LLC NPI 1740659200

NPI Information

NPI: 1740659200
Provider Name: SEACREST RECOVERY, LLC
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
638 E OCEAN AVE
BOYNTON BEACH, FL
ZIP 33435
Phone: (561) 990-2620
Get Directions

SEACREST RECOVERY, LLC is a substance abuse rehabilitation facility in Boynton Beach, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. SEACREST RECOVERY, LLC NPI is 1740659200. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

638 E OCEAN AVE
BOYNTON BEACH, FL
ZIP 33435-005
Phone: (561) 990-2620

The provider's authorized official is Josh Fenster .
The authorized official title is Ceo/owner and has the following contact phone number (561) 990-2620.

The enumeration date for this NPI number is 9/15/2015 and was last updated on 2/26/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	103TP2701X	Psychologist	Group Psychotherapy			No
2	324500000X	Substance Abuse Rehabilitation Facility		50=========01	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	504736452701	OTHER	FLORIDA	LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »