Healthcare Provider Details

I. General information

NPI: 1629299565
Provider Name (Legal Business Name): SUNLIGHT RECOVERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 10/01/2024
Certification Date: 10/01/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 GLADES ROAD SUITE 2A
BOCA RATON FL
33431
US

IV. Provider business mailing address

530 S FEDERAL HWY
DEERFIELD BEACH FL
33441-4140
US

V. Phone/Fax

Practice location:
  • Phone: 954-363-0088
  • Fax: 412-451-8656
Mailing address:
  • Phone: 954-667-5465
  • Fax: 412-451-8656

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code283Q00000X
TaxonomyPsychiatric Hospital
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number
License Number State
# 6
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number1006AD965401
License Number StateFL

VIII. Authorized Official

Name: GEMINISA M SOLORZANO
Title or Position: CRCO-RCM DIRECTOR
Credential:
Phone: 954-667-5465