Provider Demographics
NPI:1992165849
Name:RECOVERY CARE ASSOCIATES LLC
Entity type:Organization
Organization Name:RECOVERY CARE ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:IAN
Authorized Official - Middle Name:SHELLY
Authorized Official - Last Name:SILBERT
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW, ACSW, PHD
Authorized Official - Phone:305-725-3125
Mailing Address - Street 1:2701 VILLAGE BLVD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6945
Mailing Address - Country:US
Mailing Address - Phone:305-725-3125
Mailing Address - Fax:
Practice Address - Street 1:2701 VILLAGE BLVD
Practice Address - Street 2:SUITE 201
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6945
Practice Address - Country:US
Practice Address - Phone:407-864-9312
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-03
Last Update Date:2016-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW3115251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management