Organization
ELEVATION RECOVERY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (SENIOR CREDENTIALING SPECIALIST)
(561) 672-8345
Entity
Organization
Contact information
Practice address
1509 N MILITARY TRL, WEST PALM BEACH, FL 33409-4765
(561) 385-5253
(561) 683-9279
Mailing address
1509 N MILITARY TRL, WEST PALM BEACH, FL 33409-4765
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
1550AD404201
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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