Organization
AURORA OF THE TREASURE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA STELLA NIEMI (EXECUTIVE DIRECTOR)
(772) 460-0809
Entity
Organization
Contact information
Practice address
6609 N US HIGHWAY 1, FORT PIERCE, FL 34946-7409
(772) 460-0809
(772) 489-5986
Mailing address
325 FARLEYS CT, VERO BEACH, FL 32968-9449
(772) 460-0809
(772) 489-5986
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
67785696
—
FL
Enumeration date
01/09/2007
Last updated
08/22/2020
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