Provider Demographics
NPI:1295286235
Name:RECOVERY RESORT OF THE PALM BEACHES LLC
Entity type:Organization
Organization Name:RECOVERY RESORT OF THE PALM BEACHES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ELIYAHU
Authorized Official - Middle Name:
Authorized Official - Last Name:DANZIGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:848-525-9877
Mailing Address - Street 1:10287 OKEECHOBEE BLVD STE A7
Mailing Address - Street 2:
Mailing Address - City:ROYAL PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33411-1410
Mailing Address - Country:US
Mailing Address - Phone:561-508-4581
Mailing Address - Fax:561-508-4589
Practice Address - Street 1:10287 OKEECHOBEE BLVD STE A7
Practice Address - Street 2:
Practice Address - City:ROYAL PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33411-1410
Practice Address - Country:US
Practice Address - Phone:561-508-4581
Practice Address - Fax:561-508-4589
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-14
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL5001324500000X
324500000X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility