Provider Demographics
NPI:1417451907
Name:RECOVERY COACHES OF PALM BEACHES LLC
Entity Type:Organization
Organization Name:RECOVERY COACHES OF PALM BEACHES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VITO
Authorized Official - Middle Name:
Authorized Official - Last Name:CAPRI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-253-5478
Mailing Address - Street 1:2377 LENA LN
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33415-7276
Mailing Address - Country:US
Mailing Address - Phone:561-253-5478
Mailing Address - Fax:
Practice Address - Street 1:2377 LENA LN
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33415-7276
Practice Address - Country:US
Practice Address - Phone:561-253-5478
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-20
Last Update Date:2018-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty