Organization
COCONUT GROVE RECOVERY LLC
Active
Parent organization
COCONUT GROVE RECOVERY
Organization subpart
Yes
Provider details
NPI number
Legal business name
COCONUT GROVE RECOVERY
Authorized official
CATHY A PICILLO (OFFICE MGR)
(954) 234-2469
Entity
Organization
Contact information
Practice address
15291 NW 60TH AVE STE 200-201, MIAMI LAKES, FL 33014-8590
(952) 234-2469
(954) 204-0464
Mailing address
15291 NW 60TH AVE STE 200/201, MIAMI LAKES, FL 33014-8590
(954) 234-2469
(954) 204-0464
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME43252
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
FL
Other
Enumeration date
05/31/2016
Last updated
03/09/2017
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