| Calusa Recovery Services, Llc | |
|
15611 New Hampshire Ct Ste A Fort Myers FL 33908-4172 | |
| (239) 738-5573 | |
| Not Available |
| Full Name | Calusa Recovery Services, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 15611 New Hampshire Ct Ste A, Fort Myers, Florida |
| Authorized Official Name and Position | Daniel Regan (OWNER/CEO) |
| Authorized Official Contact | 7329625442 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Calusa Recovery Services, Llc 15611 New Hampshire Ct Ste A Fort Myers FL 33908-4172 Ph: (732) 962-5442 | Calusa Recovery Services, Llc 15611 New Hampshire Ct Ste A Fort Myers FL 33908-4172 Ph: (239) 738-5573 |
| NPI Number | 1912475534 |
|---|---|
| Provider Enumeration Date | 11/13/2018 |
| Last Update Date | 10/26/2023 |
| Certification Date | 10/26/2023 |
| Medicare PECOS PAC ID | 5991162521 |
|---|---|
| Medicare Enrollment ID | O20230613000960 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912475534 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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