Provider Demographics
NPI:1932625746
Name:1000 HILLS RECOVERY & TREATMENT CENTER, LLC
Entity type:Organization
Organization Name:1000 HILLS RECOVERY & TREATMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:RESHMA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARILAL
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CMHP
Authorized Official - Phone:561-932-4665
Mailing Address - Street 1:2215 N MILITARY TRL STE B
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-2901
Mailing Address - Country:US
Mailing Address - Phone:561-932-4665
Mailing Address - Fax:
Practice Address - Street 1:2215 N MILITARY TRL
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-2972
Practice Address - Country:US
Practice Address - Phone:561-932-4665
Practice Address - Fax:561-932-4665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-15
Last Update Date:2017-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCMHP100002101YA0400X
FL261QM0801X, 261QR0400X
261QM0850X, 261QM1300X, 261QR0405X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty
No261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM1300XAmbulatory Health Care FacilitiesClinic/CenterMulti-Specialty
No261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation