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Organization
THE SHORES TREATMENT AND RECOVERY
Active
Organization
THE SHORES TREATMENT AND RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN VECCIA (COO/MANAGING PARTNER)
(772) 800-3990
Entity
Organization
Contact information
Practice address
8493 S US HIGHWAY 1 STE 14, PORT SAINT LUCIE, FL 34952-3360
(772) 800-3990
Mailing address
8493 S US HIGHWAY 1 STE 14, PORT SAINT LUCIE, FL 34952-3360
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
Primary
—
—
Other
Enumeration date
05/21/2015
Last updated
06/05/2015
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