Organization
A ROAD TO NIRVANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WARREN PEARSON JD (INCORPORATOR)
(850) 567-6164
Entity
Organization
Contact information
Practice address
3501 ORANGE AVE, FORT PIERCE, FL 34947-3523
(201) 936-0054
Mailing address
3562 FOUR OAKS BLVD, TALLAHASSEE, FL 32311-3308
(850) 567-6164
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/22/2018
Last updated
06/22/2018
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