Organization
RECOVERY IN THE LIGHT LLC
Active
Parent organization
RECOVERY IN THE LIGHT
Organization subpart
Yes
Provider details
NPI number
Legal business name
RECOVERY IN THE LIGHT
Authorized official
CATHY A PICILLO OFFICE MGR (OFFICE MANAGER)
(954) 234-2469
Entity
Organization
Contact information
Practice address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6515
(954) 234-2469
(954) 204-0464
Mailing address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021-6515
(954) 234-2469
(954) 204-0464
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
ME55819
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
FL
Other
Enumeration date
05/26/2016
Last updated
03/06/2017
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