| Organization Name: | THE RECOVERY TEAM, INC. |
| NPI Number: | 1093059784 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FRED PETTERSEN (PRESIDENT) |
| Mailing Address: | 450 Northlake Blvd Suite 11 North Palm Beach |
| State: | FL US |
| Postal Code: | 334085415 |
| Phone Number: | 5618829821 |
| Fax Number: | 5618829561 |
| NPI Enumeration Date: | 11/19/2012 |
| NPI Last Update Date: | 11/20/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QR0405X |
| License Number: | 1550AD121401 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
| Taxonomy Definition: | |