Organization
WATERS EDGE RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYLER GORMAN (PRESIDENT/CEO)
(772) 233-5155
Entity
Organization
Contact information
Practice address
117 SE SEMINOLE ST, STUART, FL 34994-2122
(772) 233-5155
(772) 266-8383
Mailing address
117 SE SEMINOLE ST, STUART, FL 34994-2122
(772) 233-5155
(772) 266-8383
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/21/2013
Last updated
03/07/2014
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