HOLLYWOOD BEACH RECOVERY - NPI 1639954951 - Community Based Residential Treatment Facility, Mental Illness in Hollywood, FL

Q: What is the provider's specialty?

The provider's specialty is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

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About Hollywood Beach Recovery NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HOLLYWOOD BEACH RECOVERY (NPI 1639954951) is a healthcare organization registered as a community based residential treatment facility, mental illness in Hollywood, Florida and active in the NPI registry since August 2023. The organization lists Tarvis Williams, President, as its authorized official.

NPPES Registry Identity

NPI1639954951

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameHOLLYWOOD BEACH RECOVERY

Location Address5555 HOLLYWOOD BLVD, SUITE 303Hollywood, FL 33021

Mailing Address5555 Hollywood Blvd, Suite 303Hollywood, FL 33021 · (800) 485-3376

Phone(800) 485-3376

Organization SubpartNo

Authorized OfficialTarvis WilliamsPresident · (305) 890-7982

Enumeration DateAugust 25, 2023

NPPES CertifiedAugust 25, 2023

✔ NPI 1639954951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

5555 HOLLYWOOD BLVD, Hollywood, FL 33021

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