The Recovery Village

NPI #1265856017 in Umatilla, Florida

Provider Information

NPI Number
1265856017
Entity Type
Organization
Organization Name
The Recovery Village
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Feb 14, 2014
Last Updated
May 6, 2015

Practice Location

Address
633 UMATILLA BLVD.
Address 2
THE RECOVERY VILLAGE
State
Florida
ZIP Code
32784
Phone
(352) 669-8000

Authorized Official

Name
MR. SAMUEL KEITH KELLEY, M.D.
Title
CHIEF MEDICAL OFFICER
Phone
(754) 300-3120

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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