Organization
SEVENTY SEVEN RECOVERY INC
Active
Other names
seventy Seven Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PABLO ARNULFO LOPEZ DE LEON (CEO)
(561) 355-1223
Entity
Organization
Contact information
Practice address
315 11TH ST, WEST PALM BEACH, FL 33401-3321
(561) 355-1223
(561) 828-3158
Mailing address
315 11TH ST, WEST PALM BEACH, FL 33401-3321
(561) 355-1223
(561) 828-3158
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1550AD183801
FL
Other
Enumeration date
01/02/2014
Last updated
01/02/2014
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