Provider Demographics
NPI:1104372663
Name:ACCESS RECOVERY, LLC
Entity Type:Organization
Organization Name:ACCESS RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:SENESE
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:917-600-8536
Mailing Address - Street 1:31 SE OCEAN BLVD
Mailing Address - Street 2:
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-2214
Mailing Address - Country:US
Mailing Address - Phone:844-742-7669
Mailing Address - Fax:
Practice Address - Street 1:31 SE OCEAN BLVD
Practice Address - Street 2:
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-2214
Practice Address - Country:US
Practice Address - Phone:844-742-7669
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-25
Last Update Date:2016-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder