Healthcare Provider Details
I. General information
NPI: 1427971886
Provider Name (Legal Business Name): VIOLET RECOVERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/03/2026
Last Update Date: 08/03/2026
Certification Date: 08/03/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1674 DELSEA DR
DEPTFORD NJ
08096-4117
US
IV. Provider business mailing address
6909 SW 18TH ST STE 203A
BOCA RATON FL
33433-7078
US
V. Phone/Fax
- Phone: 844-909-2525
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 324500000X |
| Taxonomy | Substance Abuse Rehabilitation Facility |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ADAM
MULTZ
Title or Position: CEO / OWNER
Credential:
Phone: 844-909-2525