Organization
ROOTS TO RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KATRINA LYNN CHASE (OWNER & CEO)
(561) 777-0045
Entity
Organization
Contact information
Practice address
514 NW 7TH COURT, BOYNTON BEACH, FL 33426
(561) 777-0045
Mailing address
101 S. FEDERAL HIGHWAY, APT# 513, BOYNTON BEACH, FL 33435
(561) 777-0045
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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