Organization
SUNCOAST RECOVERY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ESTEBAN ALFONSO RUIZ MD (MEDICAL DIRECTOR)
(727) 484-6169
Entity
Organization
Contact information
Practice address
15225 US HIGHWAY 19, HUDSON, FL 34667-3673
(727) 233-9856
Mailing address
13910 FIVAY RD STE 15, HUDSON, FL 34667-7130
(727) 233-9856
(727) 484-6173
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2800X
Methadone Clinic
—
—
261QP2000X
Physical Therapy Clinic/Center
—
—
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
273R00000X
Psychiatric Hospital Unit
—
—
273Y00000X
Rehabilitation Hospital Unit
—
—
Other
Enumeration date
06/08/2018
Last updated
06/08/2018
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