Organization
COCONUT GROVE RECOVERY LLC
Active
Other names
More Life Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISSA ANN BOTA (EXECUTIVE DIRECTOR)
(866) 212-8122
Entity
Organization
Contact information
Practice address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(866) 212-8122
(855) 295-2937
Mailing address
5001 HOLLYWOOD BLVD, HOLLYWOOD, FL 33021
(866) 212-8122
(855) 295-2937
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/14/2016
Last updated
11/20/2019
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