Provider Demographics
NPI:1114342466
Name:RESURFACE RECOVERY CENTERS, INC.
Entity Type:Organization
Organization Name:RESURFACE RECOVERY CENTERS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LAUREN
Authorized Official - Middle Name:E
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:352-351-0867
Mailing Address - Street 1:2215 E FORT KING ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34471-2566
Mailing Address - Country:US
Mailing Address - Phone:352-351-0867
Mailing Address - Fax:352-351-3263
Practice Address - Street 1:2215 E FORT KING ST
Practice Address - Street 2:SUITE C
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34471-2566
Practice Address - Country:US
Practice Address - Phone:352-351-0867
Practice Address - Fax:352-351-3263
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health