Provider Demographics
NPI:1538222187
Name:FLORIDA CENTER FOR RECOVERY
Entity type:Organization
Organization Name:FLORIDA CENTER FOR RECOVERY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O
Authorized Official - Prefix:
Authorized Official - First Name:ELIZABETH
Authorized Official - Middle Name:
Authorized Official - Last Name:SLAYNE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-460-2777
Mailing Address - Street 1:3451 W MIDWAY RD
Mailing Address - Street 2:
Mailing Address - City:FORT PIERCE
Mailing Address - State:FL
Mailing Address - Zip Code:34981-4960
Mailing Address - Country:US
Mailing Address - Phone:772-460-2777
Mailing Address - Fax:772-460-2771
Practice Address - Street 1:3451 W MIDWAY RD
Practice Address - Street 2:
Practice Address - City:FORT PIERCE
Practice Address - State:FL
Practice Address - Zip Code:34981-4960
Practice Address - Country:US
Practice Address - Phone:772-460-2777
Practice Address - Fax:772-460-2771
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-18
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL1556AD863302324500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility