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Organization

SHORES TREATMENT AND RECOVERY SERVICE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NICHOLAS MARINO (OWNER/CEO)
(626) 797-9977
Entity
Organization

Contact information

Practice address
8493 S US HIGHWAY 1, UNIT 14, PORT ST LUCIE, FL 34952-3360
(626) 797-9977
(626) 844-2977
Mailing address
8493 S US HIGHWAY 1, UNIT 14, PORT ST LUCIE, FL 34952-3360
(626) 797-9977
(626) 844-2977

Taxonomy

Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary

Other

Enumeration date
05/30/2013
Last updated
05/30/2013
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