Healthcare Provider Details
I. General information
NPI: 1477933315
Provider Name (Legal Business Name): INSPIRE RECOVERY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/05/2015
Last Update Date: 02/12/2021
Certification Date: 02/12/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
909 N DIXIE HWY
WEST PALM BEACH FL
33401-3329
US
IV. Provider business mailing address
909 N DIXIE HWY
WEST PALM BEACH FL
33401-3329
US
V. Phone/Fax
- Phone: 561-758-9357
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QR0405X |
| Taxonomy | Substance Use Disorder Rehabilitation Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
DONNA
WEINBERGER
Title or Position: CEO
Credential:
Phone: 561-899-6088