Organization
THE RECOVERY VILLAGE AT UMATILLA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BELINA SURUJON (LICENSING & CONTRACTING DIRECTOR)
(305) 785-5520
Entity
Organization
Contact information
Practice address
633 UMATILLA BLVD, UMATILLA, FL 32784-8418
(954) 746-8232
(954) 746-8981
Mailing address
1 FINANCIAL PLZ STE 1800, FT LAUDERDALE, FL 33394-0011
(754) 300-3120
(888) 919-4431
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
FL
Other
Enumeration date
01/11/2013
Last updated
04/28/2025
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