OrganizationActive
Recovery Village
NPI 1174056527 · Children's Substance Abuse Rehabilitation Facility · Parkland, FL
Provider details
- NPI number
- 1174056527
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Rod Mack, Owner(305) 992-5119
Specialties & taxonomies
Residential Treatment Facilities
Practice location
5994 Nw 74th St
Parkland, FL 33067-2451
Phone: (305) 992-5119
Approximate (ZIP-level) locationGet directions
Mailing address
5994 Nw 74th St
Parkland, FL 33067-2451
Registry dates
- Enumerated
- 2017-04-04
- Last updated
- 2017-04-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.