Provider Demographics
NPI:1841561115
Name:RELEVANT RECOVERY INC
Entity Type:Organization
Organization Name:RELEVANT RECOVERY INC
Other - Org Name:EHAB
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:KATHLENE
Authorized Official - Last Name:BURGGRAF
Authorized Official - Suffix:
Authorized Official - Credentials:CAP
Authorized Official - Phone:954-943-6340
Mailing Address - Street 1:3170 N FEDERAL HWY STE 100
Mailing Address - Street 2:
Mailing Address - City:LIGHTHOUSE POINT
Mailing Address - State:FL
Mailing Address - Zip Code:33064-6721
Mailing Address - Country:US
Mailing Address - Phone:954-943-6340
Mailing Address - Fax:
Practice Address - Street 1:3170 N FEDERAL HWY STE 100
Practice Address - Street 2:
Practice Address - City:LIGHTHOUSE POINT
Practice Address - State:FL
Practice Address - Zip Code:33064-6721
Practice Address - Country:US
Practice Address - Phone:954-943-6340
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-01-19
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1706AD998301261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder