Family Addiction Recovery, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW10458 Issued in FL

Legal business name

FAMILY ADDICTION RECOVERY, LLC

Practice address

499 E Palmetto Park Rd
Boca Raton, FL 33432-5080

Phone

(561) 305-7220

Fax

(561) 431-5844

NPI assigned

Apr 5, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Robin Moustafa, LCSW

Title

MGR

Phone

(561) 305-7220

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1333584000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333584000000",
    "number": "1144586025",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 SW 17TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334327235",
            "telephone_number": "561-305-7220",
            "fax_number": "561-431-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499 E PALMETTO PARK RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334325080",
            "telephone_number": "561-305-7220",
            "fax_number": "561-431-5844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADDICTION RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-05",
        "last_updated": "2012-04-05",
        "status": "A",
        "authorized_official_last_name": "MOUSTAFA",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "MGR",
        "authorized_official_telephone_number": "561-305-7220",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW10458",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jamie Falahee, CCC-SLP
• Annet Ella Falchook, MD
• Arnold Steven Falchook, M.D.
• Ronald Falk, D.C.
• Beth Familant, M.D.
• Family Chiropractic & Nutrition, Inc.
• Family Drugstore, Inc.
• Family Eyewear (Looking Sharp Eyewear and Care)
• Family First Medical Supply LLC
• Family Foot and Ankle of Boca Raton P a

• Clinical Social Worker in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.