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1164259974
BROKEN ROADS MENTAL HEALTH, LLC
PORT ST LUCIE, FL
NPI
1164259974
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Entity Type
Organization
Authorized Contact
SARA WATERBURY
Owner
772-249-2597
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-09-16
Last Update Date
2024-09-30
Business Address
BROKEN ROADS MENTAL HEALTH, LLC
1680 SW BAYSHORE BLVD STE 107
PORT ST LUCIE, FL 34984-3518
Phone number: 772-249-2597
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Mailing Address
BROKEN ROADS MENTAL HEALTH, LLC
1680 SW BAYSHORE BLVD STE 107
PORT ST LUCIE, FL 34984-3518
Phone number: 772-249-2597
Copy
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