Provider Demographics
NPI:1366933012
Name:CLEAN & SOBER RECOVERY CENTER, INC.
Entity type:Organization
Organization Name:CLEAN & SOBER RECOVERY CENTER, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:TORY
Authorized Official - Middle Name:
Authorized Official - Last Name:PERFETTI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:561-828-4140
Mailing Address - Street 1:5829 CORPORATE WAY
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33407-2021
Mailing Address - Country:US
Mailing Address - Phone:561-480-4335
Mailing Address - Fax:
Practice Address - Street 1:901 NORTHPOINT PKWY STE 400
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33407-1954
Practice Address - Country:US
Practice Address - Phone:561-828-4140
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-29
Last Update Date:2025-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility