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Organization
PREMIERE ADDICTION RECOVERY, LLC
Active
Organization
PREMIERE ADDICTION RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES FRIEDMAN (OWNER)
(718) 974-8554
Entity
Organization
Contact information
Practice address
225 N BURNETT RD, COCOA, FL 32926-4242
(561) 722-8055
Mailing address
51 FOREST RD, 316/338, MONROE, NY 10950-2948
(213) 280-2663
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
NULL
276400000X
Substance Use Disorder Rehabilitation Hospital Unit
Primary
—
NULL
Other
Enumeration date
05/22/2019
Last updated
11/10/2024
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