Provider Demographics
NPI:1639474398
Name:RECOVERY ASSOCIATES OF THE PALM BEACHES
Entity Type:Organization
Organization Name:RECOVERY ASSOCIATES OF THE PALM BEACHES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MRS
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:FYFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-296-0530
Mailing Address - Street 1:2801 N FLAGLER DRIVE
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407
Mailing Address - Country:US
Mailing Address - Phone:561-296-0530
Mailing Address - Fax:561-275-2399
Practice Address - Street 1:2801 N FLAGLER DRIVE
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407
Practice Address - Country:US
Practice Address - Phone:561-296-0530
Practice Address - Fax:561-275-2399
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-11
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder