Revive Detox Center

LBN: Revive Detox Center
Revive Detox Center is an health care organization with primary practice located at 8489 S Federal Hwy # 1 (S. Federal Highway) Ste.16, Port Saint Lucie FL 34952-3360. The organization recently has only one registered license in Residential Treatment Facilities / Substance Abuse Rehabilitation Facility, which is considered as the primary health care specialty. Revive Detox Center can be contacted via phone (772) 828-6992, or through Hernandez, Rafael A. via phone (772) 828-6992.

Contact Information

Primary practice address
8489 S Federal Hwy # 1 (S. Federal Highway) Ste.16 Port Saint Lucie FL 34952-3360
Phone: (772) 828-6992
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hernandez, Rafael A.
Phone: (772) 828-6992

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1003231820
LBN Legal business name Revive Detox Center
DBA Doing business as
Authorized official Hernandez, Rafael A.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 3rd, 2014
Last updated Mar 7th, 2014 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers