Organization
RECREATE LIFE WELLNESS GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSE REUTER CAP (MANAGER)
(561) 914-6030
Entity
Organization
Contact information
Practice address
7570 S FEDERAL HWY STE 7, LANTANA, FL 33462-6060
(561) 814-2055
Mailing address
455 NE 5TH AVE STE D316, DELRAY BEACH, FL 33483-5658
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/02/2017
Last updated
10/02/2017
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