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Organization

ELEVATE YOUTH RECOVERY, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMILY FUNKHOUSER (DIRECTOR)
(954) 857-4976
Entity
Organization

Contact information

Practice address
6530 GRIFFIN RD, DAVIE, FL 33314-4301
(954) 857-4976
Mailing address
951 W YAMATO RD STE 100, BOCA RATON, FL 33431-4437

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3245S0500X
Children's Substance Abuse Rehabilitation Facility

Other

Enumeration date
06/26/2025
Last updated
06/26/2025
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