Organization
RECOVERY BOOT CAMP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY SCHNELLENBERGER (CEO)
(561) 251-2770
Entity
Organization
Contact information
Practice address
85 SW 5TH AVE, DELRAY BEACH, FL 33444-2511
(561) 563-8888
(561) 265-4561
Mailing address
85 SW 5TH AVE, DELRAY BEACH, FL 33444-2511
(561) 563-8888
(561) 265-4561
Taxonomy
Speciality
Code
Description
License number
State
261QR0800X
Recovery Care Clinic/Center
5001
FL
261QR0800X
Recovery Care Clinic/Center
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1710362272
SUBSTANCE ABUSE
FL
01
—
18214773307
SUBSTANCE ABUSE
FL
Enumeration date
06/20/2017
Last updated
07/21/2022
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