Healthcare Provider Details

I. General information

NPI: 1013804731
Provider Name (Legal Business Name): ASCEND RECOVERY CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2025
Last Update Date: 06/24/2025
Certification Date: 06/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4362 NORTHLAKE BLVD STE 117
PALM BEACH GARDENS FL
33410-6270
US

IV. Provider business mailing address

4362 NORTHLAKE BLVD STE 217
PALM BEACH GARDENS FL
33410-6270
US

V. Phone/Fax

Practice location:
  • Phone: 833-888-2723
  • Fax:
Mailing address:
  • Phone:
  • Fax: 888-561-2821

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: SAMANTHA HEWETT
Title or Position: COO
Credential:
Phone: 561-252-9389