Organization
PUR RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH COOPER (CEO)
(772) 971-9197
Entity
Organization
Contact information
Practice address
1595 OLD DIXIE HWY, VERO BEACH, FL 32960-0400
(772) 783-4223
Mailing address
1581 OLD DIXIE HWY, VERO BEACH, FL 32960-3654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
05/16/2024
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