Provider Demographics
NPI:1760056808
Name:RESILIENCE RECOVERY RESOURCES LLC
Entity Type:Organization
Organization Name:RESILIENCE RECOVERY RESOURCES LLC
Other - Org Name:RESILIENCE RECOVERY RESIDENCES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER, CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:STEPHANIE
Authorized Official - Middle Name:RACHAEL
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-806-0980
Mailing Address - Street 1:2701 N AUSTRALIAN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-4512
Mailing Address - Country:US
Mailing Address - Phone:561-806-0980
Mailing Address - Fax:561-516-7522
Practice Address - Street 1:2701 N AUSTRALIAN AVE STE 100
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-4512
Practice Address - Country:US
Practice Address - Phone:561-806-0980
Practice Address - Fax:561-516-7522
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-13
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder