Organization
RECOVERY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROD MACK (OWNER)
(305) 992-5119
Entity
Organization
Contact information
Practice address
5994 NW 74TH ST, PARKLAND, FL 33067-2451
(305) 992-5119
Mailing address
5994 NW 74TH ST, PARKLAND, FL 33067-2451
(305) 992-5119
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/04/2017
Last updated
04/04/2017
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