Organization
VALIANT RECOVERY CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROYCE ROBERT DOCKRILL (CEO)
(941) 882-1664
Entity
Organization
Contact information
Practice address
610 E OLYMPIA AVE, PUNTA GORDA, FL 33950
(941) 882-1664
Mailing address
610 E OLYMPIA AVE, PUNTA GORDA, FL 33950
(941) 882-1664
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/17/2020
Last updated
11/17/2020
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