Organization
RESTORE HOPE OF JENSEN BEACH LLC
Active
Other names
Restore Hope LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE JUAN DIAZ DO (MEDICAL DIRECTOR)
(772) 444-7388
Entity
Organization
Contact information
Practice address
1320 SE FEDERAL HWY STE 105, STUART, FL 34994-3409
(772) 444-7388
(772) 444-7388
Mailing address
1320 SE FEDERAL HWY STE 105, STUART, FL 34994-3409
(772) 444-7388
(772) 444-7388
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
261QR0800X
Recovery Care Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
08/18/2016
Last updated
07/23/2019
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