Desert Rose Detox LLC
Substance Abuse Rehabilitation Facility in Fort Pierce, FL. Organization (NPI-2).
NPI number1699394635
StatusActive
Last updated in NPPESApr 9, 2020
Details
- NPI
- 1699394635
- Entity type
- Organization (NPI-2)
- Legal business name
- Desert Rose Detox LLC
- Organization subpart
- Yes
- Enumeration date
- Apr 9, 2020
- Certification date
- Apr 9, 2020
- Last updated
- Apr 9, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Practice location
912 Avenue IFort Pierce, FL 34950-2237
Phone 561-422-4946
Mailing address
357 Hiatt DrPalm Beach Gardens, FL 33418-8222
Phone 561-346-2550
Authorized official
Craig Douglas Woolard
Corporate Compliance Director
5613462550
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