Organization
STEPPING UP RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN R RODRIGUEZ (CHIEF EXECUTIVE OFFICER / OWNER)
(561) 503-8661
Entity
Organization
Contact information
Practice address
3175 S CONGRESS AVE, SUITE # 304, PALM SPRINGS, FL 33461-2500
(561) 503-8661
Mailing address
3175 S CONGRESS AVE, SUITE # 304, PALM SPRINGS, FL 33461-2500
(561) 503-8661
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
05/08/2014
Last updated
05/08/2014
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