Organization Name: | DREAM CENTER FOR RECOVERY |
NPI Number: | 1154799906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINA TUCKER (CEO) |
Mailing Address: | 3003 Sw Martin Downs Blvd Palm City |
State: | FL US |
Postal Code: | 349902644 |
Phone Number: | 7722191355 |
Fax Number: | |
NPI Enumeration Date: | 09/10/2015 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 1943AD548101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |