Organization
PRIMA VISTA RECOVERY AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GERALD A DIBARTOLOMEO JR. CPA (CFO)
(772) 461-8833
Entity
Organization
Contact information
Practice address
7664 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-2315
(772) 461-8833
(772) 461-8872
Mailing address
7664 S US HIGHWAY 1, PORT SAINT LUCIE, FL 34952-2315
(772) 461-8833
(772) 461-8872
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
FL
Other
Enumeration date
07/07/2015
Last updated
07/07/2015
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