Provider Demographics
NPI:1811157886
Name:MILESTONES IN RECOVERY
Entity type:Organization
Organization Name:MILESTONES IN RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:NIKKI
Authorized Official - Middle Name:BETH
Authorized Official - Last Name:GLANTZ
Authorized Official - Suffix:
Authorized Official - Credentials:RDN
Authorized Official - Phone:800-347-2364
Mailing Address - Street 1:2525 EMBASSY DRIVE
Mailing Address - Street 2:SUITE # 10
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:800-347-2365
Mailing Address - Fax:954-703-7927
Practice Address - Street 1:2525 EMBASSY DRIVE
Practice Address - Street 2:SUITE # 10
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:800-347-2365
Practice Address - Fax:954-703-7927
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2021-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility