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SHORES TREATMENT AND RECOVERY SERVICE LLC NPI 1326485475


NPI Information

NPI: 1326485475
Provider Name: SHORES TREATMENT AND RECOVERY SERVICE LLC
Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
8493 S US HIGHWAY 1
UNIT 14
PORT ST LUCIE, FL
ZIP 34952
Phone: (626) 797-9977
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SHORES TREATMENT AND RECOVERY SERVICE LLC is a substance abuse treatment and children substance abuse rehabilitation facility in Port St Lucie, FL. The provider is a facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SHORES TREATMENT AND RECOVERY SERVICE LLC NPI is 1326485475. The provider is registered as an organization entity type.

The provider's business location address is:

8493 S US HIGHWAY 1
UNIT 14
PORT ST LUCIE, FL
ZIP 34952-360
Phone: (626) 797-9977
Fax: (626) 844-2977

The provider's authorized official is Nicholas Marino .
The authorized official title is Owner/ceo and has the following contact phone number (626) 797-9977.

The enumeration date for this NPI number is 5/30/2013 and was last updated on 5/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
13245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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