Provider Demographics
NPI:1356994164
Name:RECOVERY UNPLUGGED NASHVILLE, LLC
Entity type:Organization
Organization Name:RECOVERY UNPLUGGED NASHVILLE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:SOSSIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-368-0888
Mailing Address - Street 1:915 MIDDLE RIVER DR STE 114
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33304-3586
Mailing Address - Country:US
Mailing Address - Phone:954-368-0888
Mailing Address - Fax:954-212-2227
Practice Address - Street 1:255 WILSON PIKE CIR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5207
Practice Address - Country:US
Practice Address - Phone:615-236-6070
Practice Address - Fax:954-212-2227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-07-21
Last Update Date:2019-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility