# RIVER HOUSE WELLNESS, LLC

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

## Provider details

- **NPI number:** 1649098302
- **Authorized official:** DOUG PROCTOR (OWNER)
- **Authorized official phone:** (772) 946-1665

## Contact information

- **Practice address:** 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-4116
- **Practice address phone:** (772) 946-1665
- **Mailing address:** 3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-4116
- **Mailing address phone:** (772) 946-1665

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | — | NULL | Yes |
| 324500000X | Substance Abuse Rehabilitation Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/01/2024
- **Last updated:** 10/04/2024