Provider Demographics
NPI:1326678046
Name:THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
Entity Type:Organization
Organization Name:THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
Other - Org Name:THE RECOVERY VILLAGE MIAMI AT BAPTIST HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CONTRACTING AND LICENSING DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:BELINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SURUJON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-300-3120
Mailing Address - Street 1:1 FINANCIAL PLZ STE 1800
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33394-0011
Mailing Address - Country:US
Mailing Address - Phone:754-300-3120
Mailing Address - Fax:888-919-4431
Practice Address - Street 1:8750 SW 144TH STREET
Practice Address - Street 2:SUITE 207
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33176
Practice Address - Country:US
Practice Address - Phone:754-300-3120
Practice Address - Fax:888-919-4431
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:THE TREATMENT CENTER BY THE RECOVERY VILLAGE, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-22
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)