Organization
NEW LIFE ADDICTION TREATMENT CENTER
Active
Parent organization
NEURODIAGNOSTICS OF STUART, PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
NEURODIAGNOSTICS OF STUART, PA
Authorized official
DR. JOSE TOLEDO M.D. (CEO & MEDICAL DIRECTOR)
(772) 919-1422
Entity
Organization
Contact information
Practice address
905 E PRIMA VISTA BLVD, SUITE D, PORT ST LUCIE, FL 34952-2359
(855) 337-8500
(772) 337-8505
Mailing address
905 E PRIMA VISTA BLVD, SUITE D, PORT ST LUCIE, FL 34952-2359
(855) 337-8500
(772) 337-8505
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1956AD877101
FL
Other
Enumeration date
02/01/2012
Last updated
02/01/2012
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