Organization · Type 2 NPI

Revive Detox Center

Substance Abuse Rehabilitation Facility · Port St. Lucie, FL

NPI number 1003231820 Active

Practice location

8489 S Federal Hwy # 1, (s. Federal Highway) STE.16
Port St. Lucie, FL 34952-3360

Call (772) 828-6992 Map

Mailing address

344 SW Quiet Woods
Port St. Lucie, FL 34953-8230

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: 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.

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About NPI 1003231820

Revive Detox Center's National Provider Identifier is 1003231820, issued on Mar 3, 2014. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Port St. Lucie, FL. The record was last updated on Mar 7, 2014.