The Recovery Village
Organization Active NPI Substance Abuse Rehabilitation Facility · Umatilla, FL
NPI 1265856017 · NPPES record last updated May 6, 2015
Key facts
- NPI
- 1265856017
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- Legal business name
- THE RECOVERY VILLAGE
- Practice address
- 633 Umatilla Blvd.
The Recovery Village
Umatilla, FL 32784 - Phone
- (352) 669-8000
- NPI assigned
- Feb 14, 2014
- Organization subpart
- No
Authorized official
- Name
- Mr. Samuel Keith Kelley, M.D.
- Title
- Chief Medical Officer
- Phone
- (754) 300-3120
National Provider Directory
Locations
100 SE 3rd Ave
Ste 1102
Ft Lauderdale, FL 33394
633 Umatilla Blvd
Umatilla, FL 32784
Phone (352) 669-8000
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | Yes |
Addresses
Primary practice location
633 Umatilla Blvd.
The Recovery Village
Umatilla, FL 32784
Mailing address
100 SE Third Ave
Suite 1102
Ft. Lauderdale, FL 33394
Phone (754) 300-3120
Other providers in Umatilla, FL
- Alyssa Schell
- Jennifer Lynn Seegers
- Tyler Seymour
- Tammy St Louis
- Betty Ann Dupont Stapleton
- The Recovery Village at Umatilla
- Richard John Thomas
- Umatilla Chiropractic LLC
- Umatilla Optical & Hearing Aid Center Inc
- Umatilla Optical and Hearing Aid Center, Inc
All providers in Umatilla, FL · Substance Abuse Rehabilitation Facility in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 6, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.