Organization
INTERNATIONAL RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELI KORNMILLER (CLIENT ONBOARDING SUPERVISOR)
(561) 672-8345
Entity
Organization
Contact information
Practice address
1825 NW 112TH AVE, SUITE 151, MIAMI, FL 33172-1815
(305) 600-3255
Mailing address
1825 NW 112TH AVE, SUITE 151, MIAMI, FL 33172-1815
(305) 600-3255
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
Primary
1301
FL
Other
Enumeration date
10/19/2016
Last updated
07/21/2022
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