Organization
AMETHYST RECOVERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN TREACY (CEO)
(954) 610-7151
Entity
Organization
Contact information
Practice address
2000 SE PORT ST LUCIE BLVD, PORT ST LUCIE, FL 34952-5546
(954) 610-7151
Mailing address
2000 SE PORT ST LUCIE BLVD STE B, PORT ST LUCIE, FL 34952-5546
(954) 610-7151
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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