Organization
SEACREST RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSH FENSTER (CEO/OWNER)
(561) 990-2620
Entity
Organization
Contact information
Practice address
638 E OCEAN AVE, BOYNTON BEACH, FL 33435-5005
(561) 990-2620
Mailing address
5300 ATLANTIC AVE STE 400, DELRAY BEACH, FL 33484-8141
(561) 990-2620
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
5001
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
504736452701
LICENSE
FL
Enumeration date
09/15/2015
Last updated
06/06/2024
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