Healthcare Provider Details

I. General information

NPI: 1013699610
Provider Name (Legal Business Name): RECLAMATION CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2023
Last Update Date: 07/02/2024
Certification Date: 07/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6960 TAFT ST
HOLLYWOOD FL
33024-3802
US

IV. Provider business mailing address

2900 W CYPRESS CREEK RD STE 5
FORT LAUDERDALE FL
33309-1715
US

V. Phone/Fax

Practice location:
  • Phone: 954-432-8831
  • Fax: 954-432-8832
Mailing address:
  • Phone: 954-343-6552
  • Fax: 754-255-7455

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
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

VIII. Authorized Official

Name: PATRICIA DENIS
Title or Position: OWNER
Credential:
Phone: 954-614-9755