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NPI Code Detail

MEDICARE: HARMONY HOUSE RECOVERY

MEDICARE: HARMONY HOUSE RECOVERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1053808063
Entity Type Code : Organization
Provider Name (Legal Business Name) : HARMONY HOUSE RECOVERY
Provider Business Mailing Address
First Line : 810 NW GREENWICH CT
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-3403
Country : US
Telephone Number : 772-924-4163
Fax Number :
Provider Business Practice Location Address
First Line : 810 NW GREENWICH CT
Second Line :
City : PORT ST LUCIE
State : FL
Zip : 34983-3403
Country : US
Telephone Number : 772-924-4163
Fax Number :
Authorized Official
Title or Position : CLINICAL DIRECTOR
Name : DOUGLAS PARADISE
Credential : CAP ICDAC
Telephone Number : 772-924-4163
Provider Enumeration Date : 04/16/2018
Last Update Date : 06/16/2018

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Directions to “HARMONY HOUSE RECOVERY ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.