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SEVENTY SEVEN RECOVERY INC NPI 1750702122


NPI Information

NPI: 1750702122
Provider Name: SEVENTY SEVEN RECOVERY INC

Doing Business As: SEVENTY SEVEN RECOVERY

Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
315 11TH ST
WEST PALM BEACH, FL
ZIP 33401
Phone: (561) 355-1223
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SEVENTY SEVEN RECOVERY INC is a rehabilitation and substance use disorder clinic center in West Palm Beach, FL. SEVENTY SEVEN RECOVERY INC NPI is 1750702122. The provider is registered as an organization entity type.
The provider Is Doing Business As Seventy Seven Recovery.

The provider's business location address is:

315 11TH ST
WEST PALM BEACH, FL
ZIP 33401-321
Phone: (561) 355-1223
Fax: (561) 828-3158

The provider's authorized official is Pablo Arnulfo Lopez De Leon .
The authorized official title is Ceo and has the following contact phone number (561) 355-1223.

The enumeration date for this NPI number is 1/2/2014 and was last updated on 1/2/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0405XClinic/CenterRehabilitation, Substance Use Disorder1550AD183801FLORIDAYes

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: 4/28/2024

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