| South Ocean Recovery | |
|
1732 S Congress Ave Ste 354 Palm Springs FL 33461-2140 | |
| (561) 425-5343 | |
| Not Available |
| Full Name | South Ocean Recovery |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 1732 S Congress Ave Ste 354, Palm Springs, Florida |
| Authorized Official Name and Position | Keli Kornmiller (SENIOR CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 5616728345 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Ocean Recovery 7731 N Military Trl Ste 1 West Palm Beach FL 33410-7430 Ph: (561) 425-5343 | South Ocean Recovery 1732 S Congress Ave Ste 354 Palm Springs FL 33461-2140 Ph: (561) 425-5343 |
| NPI Number | 1700245719 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 02/18/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700245719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | 1550AD332201 (Florida) | Primary |
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