| Hardcore Support Services | |
|
4502 Sw Floral St Port St Lucie FL 34953-7621 | |
| (772) 293-9734 | |
| (863) 223-2089 |
| Full Name | Hardcore Support Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4502 Sw Floral St, Port St Lucie, Florida |
| Authorized Official Name and Position | Robert Andreas Rolle (DIRECTOR OF BEHAVIORAL SERVICES) |
| Authorized Official Contact | 7722939734 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hardcore Support Services 4502 Sw Floral St Port St Lucie FL 34953-7621 Ph: () - | Hardcore Support Services 4502 Sw Floral St Port St Lucie FL 34953-7621 Ph: (772) 293-9734 |
| NPI Number | 1609194646 |
|---|---|
| Provider Enumeration Date | 05/14/2010 |
| Last Update Date | 05/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609194646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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