Provider Demographics
NPI:1669886107
Name:THE RECONCILE GROUP, LLC
Entity type:Organization
Organization Name:THE RECONCILE GROUP, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF COMPLIANCE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:GENE
Authorized Official - Middle Name:
Authorized Official - Last Name:MCPHAUL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:919-201-4032
Mailing Address - Street 1:700 SW 78TH AVE
Mailing Address - Street 2:SUITE 909
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-3298
Mailing Address - Country:US
Mailing Address - Phone:800-766-8891
Mailing Address - Fax:
Practice Address - Street 1:700 SW 78TH AVE
Practice Address - Street 2:SUITE 909
Practice Address - City:PLANTATION
Practice Address - State:FL
Practice Address - Zip Code:33324-3298
Practice Address - Country:US
Practice Address - Phone:800-766-8891
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-12
Last Update Date:2014-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health