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Organization

A ROAD TO RECOVERY, LLC

Active
Parent organization
IMAGE MANAGEMENT CORPORATION
Organization subpart
Yes

Provider details

NPI number
Legal business name
IMAGE MANAGEMENT CORPORATION
Authorized official
MR. JOHN P FERRARO (PRESIDENT)
(772) 466-7111
Entity
Organization

Contact information

Practice address
6971 HERITAGE DR, PORT ST LUCIE, FL 34952-8229
(772) 466-7111
(772) 466-9991
Mailing address
6971 HERITAGE DR, PORT ST LUCIE, FL 34952-8229
(772) 466-7111
(772) 466-9991

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1956AD393101
FL

Other

Enumeration date
05/07/2009
Last updated
05/14/2009
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