Organization
FAITHFUL HOPE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELAINE J MACK (OWNER/CEO)
(561) 396-6122
Entity
Organization
Contact information
Practice address
630 NE 40TH ST, POMPANO BEACH, FL 33064-4321
(561) 396-6122
Mailing address
11045 NW 71ST CT, PARKLAND, FL 33076-3810
(561) 396-6122
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
09/01/2017
Last updated
06/16/2018
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