MEDICARE: DELRAY RECOVERY CENTER

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	5008	FL

General Provider Information

NPI Number	:	1598206658
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DELRAY RECOVERY CENTER

Provider Business Mailing Address
First Line	:	5410 EAST AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2344
Country	:	US
Telephone Number	:	561-921-4775
Fax Number	:

Provider Business Practice Location Address
First Line	:	5402 EAST AVE
Second Line	:
City	:	WEST PALM BEACH
State	:	FL
Zip	:	33407-2344
Country	:	US
Telephone Number	:	561-921-4775
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	JOE MONITTO
Credential	:
Telephone Number	:	561-894-4161

Provider Enumeration Date	:	03/09/2017
Last Update Date	:	07/21/2022

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Directions to “DELRAY RECOVERY CENTER ” Practice Location

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