| Center Of Life Health, Inc. | |
|
322 Sw Ocean Blvd Stuart FL 34994 | |
| (772) 220-4556 | |
| (772) 220-2214 |
| Full Name | Center Of Life Health, Inc. |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 322 Sw Ocean Blvd, Stuart, Florida |
| Authorized Official Name and Position | Kathleen Sue Fuller (DIRECTOR) |
| Authorized Official Contact | 7722204556 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center Of Life Health, Inc. 322 Sw Ocean Blvd Stuart FL 34994 Ph: (772) 220-4556 | Center Of Life Health, Inc. 322 Sw Ocean Blvd Stuart FL 34994 Ph: (772) 220-4556 |
| NPI Number | 1750453270 |
|---|---|
| Provider Enumeration Date | 11/14/2006 |
| Last Update Date | 10/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750453270 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | MH3692 (Florida) | Primary |
| 101YP2500X | Counselor - Professional | MH3692 (Florida) | Secondary |
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