CLEAN SLATE RECOVERY LLC
NPI 1861948499
Clinic/Center - Rehabilitation, Substance Use Disorder in West Palm Beach, FL

Q: What is Clean Slate Recovery LLC's NPI number?

The NPI number for Clean Slate Recovery LLC is 1861948499. It was assigned to this organization in the NPPES registry on September 1, 2016.

Q: What is Clean Slate Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

Active since September 01, 2016

2695 N MILITARY TRL, SUITE 26, WEST PALM BEACH, FL 33409(561) 660-6549 Get Directions Write a Review

NPPES record last updated: March 13, 2017. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Mar 13, 2017, Sep 1, 2016 (2 updates tracked since 2016).

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About Clean Slate Recovery Llc NPPES

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

CLEAN SLATE RECOVERY LLC (NPI 1861948499) is a healthcare organization registered as a rehabilitation, substance use disorder in West Palm Beach, Florida and active in the NPI registry since September 2016. The organization lists Suzanne Madison, Ceo, as its authorized official.

NPPES Registry Identity

NPI1861948499

Entity TypeOrganization

Primary Taxonomy261QR0405X

Legal Business NameCLEAN SLATE RECOVERY LLC

Location Address2695 N MILITARY TRL, SUITE 26West Palm Beach, FL 33409-2974

Mailing Address3061 Hartridge TerWellington, FL 33414-3429

Phone(561) 660-6549

Organization SubpartNo

Authorized OfficialSuzanne MadisonCeo · (917) 468-6200

Enumeration DateSeptember 1, 2016

Last NPPES UpdateMarch 13, 20172 updates tracked since enumeration

✔ NPI 1861948499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rehabilitation, Substance Use DisorderAmbulatory Health Care Facilities

Taxonomy Code261QR0405X

2695 N MILITARY TRL, West Palm Beach, FL 33409

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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBERT L BOLTUCH DOPA

Family Medicine

2695 N MILITARY TRL, SUITE # 17
WEST PALM BEACH, FL 33409

Palm Beach County (561) 689-2110

DR. ROBERT LEWIS BOLTUCH D.O

Family Medicine

2695 N MILITARY TRL, SUITE 17
WEST PALM BEACH, FL 33409

Palm Beach County (561) 689-2110

CLEAN SLATE RECOVERY LLC

Clinic/Center (Rehabilitation, Substance Use Disorder)

2695 N MILITARY TRL, SUITE 26
WEST PALM BEACH, FL 33409

Palm Beach County (561) 660-6549

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clean Slate Recovery LLC's NPI number?

The NPI number for Clean Slate Recovery LLC is 1861948499. It was assigned to this organization in the NPPES registry on September 1, 2016.

Where is Clean Slate Recovery LLC located?

Clean Slate Recovery LLC is located at 2695 N Military Trl Suite 26, West Palm Beach, FL 33409. The listed phone number is (561) 660-6549.

What is Clean Slate Recovery LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rehabilitation, Substance Use Disorder, with taxonomy code 261QR0405X.

When was this NPI record last updated?

The NPPES record for Clean Slate Recovery LLC was last updated on March 13, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.