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Organization
ROCKIN RECOVERY LIFE SKILLS, LLC
Active
Organization
ROCKIN RECOVERY LIFE SKILLS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
(561) 672-8345
Entity
Organization
Contact information
Practice address
265 NE 5TH AVE, DELRAY BEACH, FL 33483-5530
(561) 255-3573
(561) 808-7394
Mailing address
PO BOX 6542, DELRAY BEACH, FL 33482-6542
(561) 255-3573
(561) 808-7394
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
1550AD185301
FL
Other
Enumeration date
01/04/2016
Last updated
01/29/2016
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