Organization
WELLNESS COUNSELING & RESIDENTIAL DETOXIFICATION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD ROUSSEAU (CHIEF ADMINISTRATIVE OFFICER)
(772) 266-7682
Entity
Organization
Contact information
Practice address
3650-3670 NE INDIAN RIVER DRIVE, JENSEN BEACH, FL 34957
(772) 919-8685
Mailing address
6300 SE FEDERAL HWY, STUART, FL 34997-8363
(772) 266-4771
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
06/03/2020
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