National Provider Identifier Database

PREMIERE ADDICTION RECOVERY LLC
Rehabilitation, Substance Use Disorder Unit

A distinct part of a hospital that provides medically monitored, interdisciplinary addiction-focused treatment to patients/clients who have psychoactive substance use disorders (commonly referred to as alcohol and drug abuse or substance abuse.)


Contact Information

PREMIERE ADDICTION RECOVERY, LLC
225 N BURNETT RD
COCOA, FL32926-4242
Phone: 561-722-8055
Fax:
Website:
Specialty Taxonomy Code
* Rehabilitation, Substance Use Disorder Unit 276400000X
Rehabilitation, Substance Use Disorder 261QR0405X

* Indicates primary specialty

NPI Profile & details for PREMIERE ADDICTION RECOVERY, LLC

NPI Number 1669039061
Legal business name
LBN
PREMIERE ADDICTION RECOVERY, LLC
Authorized official MOSES FRIEDMAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/22/2019
Last updated 11/10/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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