VALIANT RECOVERY CORP NPI 1639772312

NPI Information

  • NPI: 1639772312
  • Provider Name: VALIANT RECOVERY CORP
  • Classification: Substance Abuse Rehabilitation Facility - 324500000X
  • Entity Type: Organization
  • CLIA Number: 10D2256750
  • Address: 610 E OLYMPIA AVE
    PUNTA GORDA, FL
    ZIP 33950
  • Phone: (941) 882-1664

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NPI Details

VALIANT RECOVERY CORP is a substance abuse rehabilitation facility in Punta Gorda, 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 individuals with disorders in the abuse of drugs, alcohol, and other substances. VALIANT RECOVERY CORP NPI is 1639772312. The provider is registered as an organization entity type.

The provider's business location address is:

610 E OLYMPIA AVE
PUNTA GORDA, FL
ZIP 33950
Phone: (941) 882-1664

The provider's authorized official is Royce Robert Dockrill .
The authorized official title is Ceo and has the following contact phone number (941) 882-1664.

The CLIA number assigned to this NPI record is 10D2256750 - other - residential substance abu with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/17/2020 and was last updated on 11/17/2020.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo
2324500000XSubstance Abuse Rehabilitation FacilityYes

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: 11/21/2025

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