Seventy Seven Recovery Inc

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

License

1550AD183801 Issued in FL

Legal business name

SEVENTY SEVEN RECOVERY INC

Practice address

315 11TH St
West Palm Beach, FL 33401-3321

Phone

(561) 355-1223

Fax

(561) 828-3158

NPI assigned

Jan 2, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Pablo Arnulfo Lopez de Leon

Title

Ceo

Phone

(561) 355-1223

Specialties & licenses 1

Addresses

Other names 1

• seventy Seven Recovery Doing business as

Locations

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

{
    "created_epoch": "1388620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388620800000",
    "number": "1750702122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013321",
            "telephone_number": "561-355-1223",
            "fax_number": "561-828-3158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 11TH ST",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334013321",
            "telephone_number": "561-355-1223",
            "fax_number": "561-828-3158"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEVENTY SEVEN RECOVERY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-02",
        "last_updated": "2014-01-02",
        "status": "A",
        "authorized_official_last_name": "LOPEZ DE LEON",
        "authorized_official_first_name": "PABLO",
        "authorized_official_middle_name": "ARNULFO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "561-355-1223",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "FL",
            "license": "1550AD183801",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "seventy Seven Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Geraldyne Servil
• David Ses
• Jason Sevald, MD
• Seven Seas by Charly
• Seventy Seven House
• Michael Seville Jr.
• Clinton Sevillle
• Benjamin Sevlie
• Suwayne Sewell
• Melissa Sexton-Delisa, RBT, NRCPT

• Substance Use Disorder Rehabilitation Clinic/Center in West Palm Beach, FL
• Providers in West Palm Beach, FL by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2014; 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.