Organization
RECLAMATION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADDERLY TIBO (OWNER)
(954) 614-8755
Entity
Organization
Contact information
Practice address
2900 W CYPRESS CREEK RD STE 13, FORT LAUDERDALE, FL 33309-1715
(954) 343-6552
(754) 255-7455
Mailing address
2900 W CYPRESS CREEK RD STE 13, FORT LAUDERDALE, FL 33309-1715
(954) 343-6552
(754) 255-7455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
109377800
—
FL
Enumeration date
11/30/2020
Last updated
07/02/2024
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