Provider Demographics
NPI:1023467487
Name:ALTERNATIVE INTUITIVE RECOVERY (AIR) LLC
Entity type:Organization
Organization Name:ALTERNATIVE INTUITIVE RECOVERY (AIR) LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-465-7714
Mailing Address - Street 1:3300 NE SUGARHILL AVE
Mailing Address - Street 2:
Mailing Address - City:JENSEN BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:34957-3700
Mailing Address - Country:US
Mailing Address - Phone:954-465-7714
Mailing Address - Fax:
Practice Address - Street 1:3300 NE SUGARHILL AVE
Practice Address - Street 2:
Practice Address - City:JENSEN BEACH
Practice Address - State:FL
Practice Address - Zip Code:34957-3700
Practice Address - Country:US
Practice Address - Phone:954-465-7714
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-07
Last Update Date:2016-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility