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NPI Code Detail

MEDICARE: ADDICTION RECOVERY OF LONDON, LLC

MEDICARE: ADDICTION RECOVERY OF LONDON, LLC
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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center

General Provider Information

NPI Number : 1285180661
Entity Type Code : Organization
Provider Name (Legal Business Name) : ADDICTION RECOVERY OF LONDON, LLC
Provider Business Mailing Address
First Line : 265 NE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5530
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 265 NE 5TH AVE
Second Line :
City : DELRAY BEACH
State : FL
Zip : 33483-5530
Country : US
Telephone Number : 561-403-5120
Fax Number :
Authorized Official
Title or Position : OWNER
Name : PAUL RUBIN
Credential :
Telephone Number : 561-403-5120
Provider Enumeration Date : 08/26/2016
Last Update Date : 08/26/2016

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Directions to “ADDICTION RECOVERY OF LONDON, LLC ” Practice Location

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