Organization
RECOVERY 1ST RECOVERY LCC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. OSVALDO SANTOS LPN (CEO)
(772) 626-4740
Entity
Organization
Contact information
Practice address
351 SW ALCAN CT, PORT SAINT LUCIE, FL 34953
(772) 626-4740
Mailing address
351 SW ALCAN CT, PORT SAINT LUCIE, FL 34953-7815
(772) 626-4740
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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