Organization
PHOENIX RESOLUTIONS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GERALDA SMITH (DIRECTOR)
(954) 678-0078
Entity
Organization
Contact information
Practice address
518 SW PRIMA VISTA BLVD, SUITE, PORT SAINT LUCIE, FL 34983-8734
(954) 678-0078
Mailing address
518 SW PRIMA VISTA BLVD, SUITE, PORT SAINT LUCIE, FL 34983-8734
(954) 678-0078
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
03/01/2016
Last updated
03/01/2016
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