Provider Demographics
NPI:1174008015
Name:TRANSFORMATIONS RECOVERY JUPITER
Entity Type:Organization
Organization Name:TRANSFORMATIONS RECOVERY JUPITER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:R
Authorized Official - Last Name:SACKS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW CAP
Authorized Official - Phone:561-575-2020
Mailing Address - Street 1:1001 W INDIANTOWN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33458-6830
Mailing Address - Country:US
Mailing Address - Phone:561-575-2020
Mailing Address - Fax:561-427-0007
Practice Address - Street 1:1001 W INDIANTOWN RD STE 103
Practice Address - Street 2:
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33458-6830
Practice Address - Country:US
Practice Address - Phone:561-575-2020
Practice Address - Fax:561-427-0007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder