Provider Demographics
NPI:1184049421
Name:BREAKTHROUGH RECOVERY SERVICES, INC.
Entity type:Organization
Organization Name:BREAKTHROUGH RECOVERY SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVEDIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MADELINE
Authorized Official - Middle Name:KELLER
Authorized Official - Last Name:LAMBERTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:863-467-2300
Mailing Address - Street 1:202 NW 5TH AVE
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-4140
Mailing Address - Country:US
Mailing Address - Phone:863-467-2300
Mailing Address - Fax:
Practice Address - Street 1:202 NW 5TH AVE
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34972-4140
Practice Address - Country:US
Practice Address - Phone:863-467-2300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-24
Last Update Date:2014-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty