Organization
A ROAD TO RECOVERY DETOX, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN P FERRARO (PRESIDENT)
(772) 971-6021
Entity
Organization
Contact information
Practice address
2749 SW PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34953-2806
(772) 466-7111
(772) 466-9991
Mailing address
6971 HERITAGE DR, PORT ST LUCIE, FL 34952-8229
(772) 466-7111
(772) 466-9991
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/21/2016
Last updated
04/21/2016
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