Organization
RECO INTENSIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID NIKNAFS (OWNER, CEO)
(678) 207-9575
Entity
Organization
Contact information
Practice address
1200 NW 17TH AVE, SUITE # 14, DELRAY BEACH, FL 33445-2503
(561) 808-7986
Mailing address
1605 RENAISSANCE COMMONS BLVD APT 537, BOYNTON BEACH, FL 33426-8289
(561) 808-7986
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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