| |
333 17th St Ste M Vero Beach FL 32960-5686 | |
(215) 356-2043 | |
Not Available |
Full Name | |
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Speciality | Substance Abuse Rehabilitation Facility |
Location | 333 17th St Ste M, Vero Beach, Florida |
Authorized Official Name and Position | Theresa A Prescott (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2153562043 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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333 17th St Ste M Vero Beach FL 32960-5686 Ph: (772) 584-3083 | 333 17th St Ste M Vero Beach FL 32960-5686 Ph: (215) 356-2043 |
NPI Number | 1710558713 |
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Provider Enumeration Date | 07/09/2021 |
Last Update Date | 03/09/2023 |
Certification Date | 08/26/2022 |
Identifier | Type | State | Issuer |
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1710558713 | NPI | - | NPPES |
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