Organization
DEPARTMENT OF VETERANS AFFAIR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALFARIDYS RODRIGUEZ (SOCIAL WORKER)
(772) 475-1248
Entity
Organization
Contact information
Practice address
656 SW SANDBAR TER, PORT SAINT LUCIE, FL 34953-1951
(772) 475-1248
Mailing address
656 SW SANDBAR TER, PORT SAINT LUCIE, FL 34953-1951
(772) 475-1248
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
SW 9212
FL
Other
Enumeration date
02/06/2013
Last updated
02/06/2013
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