Organization
SERENITY RECOVERY VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY ASSELIN (CEO)
(772) 214-1195
Entity
Organization
Contact information
Practice address
681 SW WHITMORE DR, PORT SAINT LUCIE, FL 34984-3567
(772) 214-1195
(772) 382-0637
Mailing address
681 SW WHITMORE DR, PORT SAINT LUCIE, FL 34984-3567
(772) 214-1195
(772) 382-0637
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
APPLIED FOR
FL
Other
Enumeration date
06/16/2016
Last updated
06/16/2016
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