# THE SHORES TREATMENT AND RECOVERY

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

## Provider details

- **NPI number:** 1619356888
- **Authorized official:** BRIAN VECCIA (COO/MANAGING PARTNER)
- **Authorized official phone:** (772) 800-3990

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | NULL | Yes |
| 103TA0400X | Addiction (Substance Use Disorder) Psychologist | — | — | Yes |

## Other

- **Enumeration date:** 05/21/2015
- **Last updated:** 06/05/2015