Organization
TREASURE COAST COUNSELING CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE MARIE FETCHO (OFFICE/BILLING MANAGER)
(772) 335-9808
Entity
Organization
Contact information
Practice address
2400 SE VETRANS MEMORIAL PARKWAY, SUITE 211, PORT ST LUCIE, FL 34952-5033
(772) 335-9808
(772) 335-9818
Mailing address
2400 SE VETRANS MEMORIAL PARKWAY, SUITE 211, PORT ST LUCIE, FL 34952-5033
(772) 335-9808
(772) 335-9818
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
1956AD091301
FL
Other
Enumeration date
04/07/2010
Last updated
06/10/2020
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