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Organization

HOPE TREATMENT GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHAVOITA LESANE (CEO)
(770) 826-5431
Entity
Organization

Contact information

Practice address
49 SW FLAGLER AVE, STUART, FL 34994-2148
(770) 826-5431
Mailing address
PO BOX 1795, PALM CITY, FL 34991-6795

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
MT2766
FL
324500000X
Substance Abuse Rehabilitation Facility
Primary
MT2766
FL
343900000X
Non-emergency Medical Transport (VAN)
MT2766
FL

Other

Enumeration date
10/14/2016
Last updated
10/14/2016
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