Organization
GONZALEZ RECOVERY RESIDENCES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BORIS GONZALEZ PHD (OWNER/MANAGER)
(772) 633-1097
Entity
Organization
Contact information
Practice address
1401 N PICKETT ST, ALEXANDRIA, VA 22304-1401
(772) 633-1097
(772) 581-8101
Mailing address
1601 OCEAN DR, VERO BEACH, FL 32963-2252
(772) 766-0465
(772) 231-4220
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
348
VA
Other
Enumeration date
09/20/2012
Last updated
09/20/2012
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