# THE SHORES TREATMENT AND RECOVERY SERVICE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083074835
- **Authorized official:** LAUREN HAUN (CEO)
- **Authorized official phone:** (772) 800-3990

## Contact information

- **Practice address:** 8493 S US HIGHWAY 1, SUITE 14, PORT ST LUCIE, FL 34952-3360
- **Practice address phone:** (772) 800-3990
- **Mailing address:** 8493 S US HIGHWAY 1, SUITE 14, PORT ST LUCIE, FL 34952-3360

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/07/2016
- **Last updated:** 03/07/2016