MEDICARE: RECOVERY RESOURCES, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	324500000X	Substance Abuse Rehabilitation Facility	0950AD409402	FL

General Provider Information

NPI Number	:	1033311568
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RECOVERY RESOURCES, INC.

Provider Business Mailing Address
First Line	:	450 NORTHLAKE BLVD
Second Line	:	SUITE 11
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5415
Country	:	US
Telephone Number	:	561-882-9821
Fax Number	:	561-882-9561

Provider Business Practice Location Address
First Line	:	450 NORTHLAKE BLVD
Second Line	:	SUITE 11
City	:	NORTH PALM BEACH
State	:	FL
Zip	:	33408-5415
Country	:	US
Telephone Number	:	561-882-9821
Fax Number	:	561-882-9561

Authorized Official
Title or Position	:	DIRECTOR OF FINANCE
Name	:	MICHELLE SCHRADER
Credential	:
Telephone Number	:	561-882-9821

Provider Enumeration Date	:	06/05/2007
Last Update Date	:	01/08/2014

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