Organization
MIRACLES RECOVERY CENTER, LLC.
Active
Other names
Miracles Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY BLOSSOM (OWNER/CEO)
(772) 766-0215
Entity
Organization
Contact information
Practice address
584 NW UNIVERSITY BLVD, PORT ST LUCIE, FL 34986-2268
(772) 249-4988
(772) 353-4047
Mailing address
584 NW UNIVERSITY BLVD, PORT ST LUCIE, FL 34986-2268
(772) 249-4988
(772) 353-4047
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/05/2018
Last updated
09/02/2025
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