Organization
PROACTIVE RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUSTAFA SANDHU (MANAGER)
(201) 600-2843
Entity
Organization
Contact information
Practice address
500 GULFSTREAM BLVD STE 105, DELRAY BEACH, FL 33483-6142
(844) 763-9968
(877) 281-1665
Mailing address
500 GULFSTREAM BLVD STE 105, DELRAY BEACH, FL 33483-6142
(844) 763-9968
(877) 281-1665
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1550AD719901
FL
Other
Enumeration date
10/06/2014
Last updated
11/22/2016
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