Provider Demographics
NPI:1619387628
Name:NOAH'S RECOVERY
Entity Type:Organization
Organization Name:NOAH'S RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHAHID
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAUDRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-386-6832
Mailing Address - Street 1:11476 OKEECHOBEE BLVD
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-8715
Mailing Address - Country:US
Mailing Address - Phone:561-204-5111
Mailing Address - Fax:561-204-5150
Practice Address - Street 1:11476 OKEECHOBEE BLVD
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-8715
Practice Address - Country:US
Practice Address - Phone:561-204-5111
Practice Address - Fax:561-204-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-29
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health