# EBH ACQUISITION SUBSIDIARY, INC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** DAVID A SACK MD TN PC
- **Other names:** The Recovery Place
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1477911642
- **Legal business name:** DAVID A SACK MD TN PC
- **Authorized official:** MS. CHERYK MAPLESDEN CPC, CHC, CHPC (DIRECTOR, REVENUE CYCLE)
- **Authorized official phone:** (615) 510-3708

## Contact information

- **Practice address:** 3100 E COMMERCIAL BLVD, FT LAUDERDALE, FL 33308-4327
- **Practice address phone:** (615) 567-7256
- **Mailing address:** PO BOX 670556, DALLAS, TX 75267-0556
- **Mailing address phone:** (615) 567-7256

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 86988 | FL | Yes |
| 2084P0800X | Psychiatry Physician | ME77726 | FL | — |
| 2084P0804X | Child & Adolescent Psychiatry Physician | ME96991 | FL | — |
| 363L00000X | Nurse Practitioner | ARPN1952242 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ARNP2857482 | FL | — |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | ARNP9199231 | FL | — |

## Other

- **Enumeration date:** 02/03/2016
- **Last updated:** 02/03/2016