MEDICARE: THE RECOVERY TEAM, 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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center	1550AD121401	FL
2	320800000X	Mental Illness Community Based Residential Treatment Facility
3	324500000X	Substance Abuse Rehabilitation Facility
4	323P00000X	Psychiatric Residential Treatment Facility

General Provider Information

NPI Number	:	1093059784
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE RECOVERY TEAM, INC

Provider Business Mailing Address
First Line	:	2925 10TH AVE N
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33461-3000
Country	:	US
Telephone Number	:	561-882-9821
Fax Number	:	561-882-9561

Provider Business Practice Location Address
First Line	:	705 LINTON BLVD
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33444-8164
Country	:	US
Telephone Number	:	561-612-4618
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. KIRILL VESSELOV
Credential	:
Telephone Number	:	561-461-3791

Provider Enumeration Date	:	11/19/2012
Last Update Date	:	02/13/2025

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Directions to “THE RECOVERY TEAM, INC ” Practice Location

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