Organization
COASTAL GARDENS RECOVERY CENTER LLC
Active
Other names
Oasis Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAANAN DVIR (CEO)
(203) 606-5984
Entity
Organization
Contact information
Practice address
3625 HIDDEN TREE LN, FORT MYERS, FL 33901-8388
(239) 666-1847
Mailing address
3625 HIDDEN TREE LN, FORT MYERS, FL 33901-8388
(239) 666-1847
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/21/2024
Last updated
06/21/2024
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