Organization
THE GIFT OF RECOVERY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHANIEL HARDAGE JR. (CEO)
(404) 809-7764
Entity
Organization
Contact information
Practice address
1801 SW HILLMOOR DRIVE, SUITE C-101, PORT ST. LUCIE, FL 34952
(954) 805-0177
(888) 293-5884
Mailing address
1225 E RIVER DR, MARGATE, FL 33063-3635
(954) 805-0177
(888) 293-5884
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH11708
PRIVATE PRACTITIONER
FL
Enumeration date
11/19/2018
Last updated
11/19/2018
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