REVIVE DETOX CENTER

PORT SAINT LUCIE, FL
NPI1003231820
Entity TypeOrganization
Authorized ContactRAFAEL A. HERNANDEZ
Owner
772-828-6992
Organization Subpart ?No
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2014-03-03
Last Update Date2014-03-07
Business Address
REVIVE DETOX CENTER
8489 S FEDERAL HWY # 1 (S. FEDERAL HIGHWAY) STE.16
PORT SAINT LUCIE, FL 34952-3360
Phone number: 772-828-6992
Mailing Address
REVIVE DETOX CENTER
344 SW QUIET WOODS
PORT SAINT LUCIE, FL 34953-8230
Phone number: 772-828-6992
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