Organization
RISE UP RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TYLER STEVEN GLOCK (CHEIF EXECUTIVE OFFICER)
(201) 264-3767
Entity
Organization
Contact information
Practice address
2026 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 678-3468
(782) 919-4273
Mailing address
2026 SE OCEAN BLVD, STUART, FL 34996-3304
(772) 678-3468
(782) 919-4273
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1943AD985101
FL
Other
Enumeration date
02/18/2015
Last updated
02/18/2015
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