Organization
NEW ROADS FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW LUCHINI (ACCOUNT MANAGER)
(928) 533-4220
Entity
Organization
Contact information
Practice address
12 SE 12TH ST, FORT LAUDERDALE, FL 33316-1845
(954) 635-2721
Mailing address
230 W TOWNE RIDGE PKWY, SUITE 225, SANDY, UT 84070-2005
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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