Provider Demographics
NPI:1851655849
Name:UNITY RECOVERY CENTER, INC
Entity Type:Organization
Organization Name:UNITY RECOVERY CENTER, INC
Other - Org Name:LAKESIDE TREATMENT CENTER, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:REVENUE CYCLE LIAISON
Authorized Official - Prefix:
Authorized Official - First Name:ALISON
Authorized Official - Middle Name:
Authorized Official - Last Name:SACCENTO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-459-3909
Mailing Address - Street 1:630 US HIGHWAY 1
Mailing Address - Street 2:
Mailing Address - City:NORTH PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33408
Mailing Address - Country:US
Mailing Address - Phone:561-459-3909
Mailing Address - Fax:561-584-6938
Practice Address - Street 1:1240 US HIGHWAY 1
Practice Address - Street 2:SUITE 200
Practice Address - City:NORTH PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:34984
Practice Address - Country:US
Practice Address - Phone:561-459-3909
Practice Address - Fax:561-223-2927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-06-25
Last Update Date:2015-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
324500000X
1550AD946801324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility