Organization
ALLY RECOVERY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUDIE NEAL (DIRECTOR OF ADMINISTRATIVE SERVICES)
(561) 469-8336
Entity
Organization
Contact information
Practice address
420 S STATE ROAD 7, SUITE 122, ROYAL PALM BEACH, FL 33414-4303
(561) 469-8336
(561) 619-9367
Mailing address
420 S STATE ROAD 7, SUITE 122, ROYAL PALM BEACH, FL 33414-4303
(561) 469-8336
(561) 619-9367
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
207RA0401X
Addiction Medicine (Internal Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1053860262
OUT PATIENT FACILITY
—
Enumeration date
02/13/2017
Last updated
08/16/2017
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