Organization
MODERN RECOVERY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL RAGHEB (PRESIDENT)
(844) 991-0555
Entity
Organization
Contact information
Practice address
2875 NE 191ST ST STE 500, AVENTURA, FL 33180-2832
(844) 991-0555
Mailing address
2875 NE 191ST ST STE 500, AVENTURA, FL 33180-2832
(844) 991-0555
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/21/2021
Last updated
11/17/2021
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