Provider Demographics
NPI:1992112692
Name:ABOVE ALL RECOVERY CENTER,LLC
Entity type:Organization
Organization Name:ABOVE ALL RECOVERY CENTER,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:
Authorized Official - Last Name:REASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:754-300-4518
Mailing Address - Street 1:3550 POWERLINE RD
Mailing Address - Street 2:
Mailing Address - City:OAKLAND PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33309-5919
Mailing Address - Country:US
Mailing Address - Phone:754-300-4518
Mailing Address - Fax:954-301-2752
Practice Address - Street 1:3550 POWERLINE RD
Practice Address - Street 2:
Practice Address - City:OAKLAND PARK
Practice Address - State:FL
Practice Address - Zip Code:33309
Practice Address - Country:US
Practice Address - Phone:754-300-4518
Practice Address - Fax:954-301-2752
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-15
Last Update Date:2018-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QR0405X
FL1023710324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder