Organization
RIVER HOUSE WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG PROCTOR (OWNER)
(772) 946-1665
Entity
Organization
Contact information
Practice address
3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-4116
(772) 946-1665
Mailing address
3650-3670 NE INDIAN RIVER DR, JENSEN BEACH, FL 34957-4116
(772) 946-1665
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
10/01/2024
Last updated
10/04/2024
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