Organization
PRISMA RECOVERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED TURNER (BILLING MANAGER)
(772) 812-9652
Entity
Organization
Contact information
Practice address
7205 CYPRESS DR, FORT MYERS, FL 33907-2975
(772) 812-9652
(833) 535-0164
Mailing address
120 N FEDERAL HWY STE 206, LAKE WORTH, FL 33460-3493
(772) 812-9652
(833) 535-0164
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/26/2023
Last updated
01/28/2025
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