# ELEVATE YOUTH RECOVERY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861380974
- **Authorized official:** EMILY FUNKHOUSER (DIRECTOR)
- **Authorized official phone:** (954) 857-4976

## Contact information

- **Practice address:** 6530 GRIFFIN RD, DAVIE, FL 33314-4301
- **Practice address phone:** (954) 857-4976
- **Mailing address:** 951 W YAMATO RD STE 100, BOCA RATON, FL 33431-4437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |
| 3245S0500X | Children's Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 06/26/2025
- **Last updated:** 06/26/2025