Clean Slate Recovery Llc

LBN: Clean Slate Recovery Llc
Clean Slate Recovery Llc is an health care organization with primary practice located at 2695 N Military Trl Suite 26, West Palm Beach FL 33409-2974. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, which is considered as the primary health care specialty. Clean Slate Recovery Llc can be contacted via phone (561) 660-6549, or through Madison, Suzanne via phone (561) 660-6549.

Contact Information

Primary practice address
2695 N Military Trl Suite 26 West Palm Beach FL 33409-2974
Phone: (561) 660-6549
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Madison, Suzanne
Phone: (561) 660-6549

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 5084241799701 Florida

Profile Details

NPI number 1942651187
LBN Legal business name Clean Slate Recovery Llc
DBA Doing business as
Authorized official Madison, Suzanne
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2016
Last updated Jun 29th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers