Organization
RECOVERY IN THE LIGHT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND S TUCKER (COLLECTIONS MANAGER)
(945) 234-2463
Entity
Organization
Contact information
Practice address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(954) 548-4331
(888) 415-6464
Mailing address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(954) 234-2463
(855) 768-4701
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
11/12/2014
Last updated
11/22/2016
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