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1205209004
THE HAVEN DETOX FT. PIERCE, LLC
FORT PIERCE, FL
NPI
1205209004
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Entity Type
Organization
Authorized Contact
KIRILL VESSELOV
President
561-616-9000
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2015-11-03
Last Update Date
2015-11-03
Business Address
THE HAVEN DETOX FT. PIERCE, LLC
4707 OLEANDER AVE
FORT PIERCE, FL 34982-4209
Phone number: 561-616-9000
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Mailing Address
THE HAVEN DETOX FT. PIERCE, LLC
3951 HAVERHILL RD N APT 120-121
WEST PALM BEACH, FL 33417-8154
Phone number: 561-616-9000
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