Organization
THE ARC OF ST. LUCIE COUNTY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL L. KING (EXECUTIVE DIRECTOR)
(772) 468-7879
Entity
Organization
Contact information
Practice address
705 KITTERMAN RD, FORT PIERCE, FL 34952-9018
(772) 466-7957
(772) 466-7957
Mailing address
PO BOX 1016, FORT PIERCE, FL 34954-1016
(772) 468-7879
(772) 465-7050
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
8587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZH238
S.A.M.H. CONTRACT
FL
Enumeration date
10/03/2005
Last updated
08/22/2020
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