| Pur Recovery Llc | |
|
1595 Old Dixie Hwy Vero Beach FL 32960-0400 | |
| (772) 783-4223 | |
| Not Available |
| Full Name | Pur Recovery Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 1595 Old Dixie Hwy, Vero Beach, Florida |
| Authorized Official Name and Position | Kenneth Cooper (CEO) |
| Authorized Official Contact | 7729719197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pur Recovery Llc 1581 Old Dixie Hwy Vero Beach FL 32960-3654 Ph: () - | Pur Recovery Llc 1595 Old Dixie Hwy Vero Beach FL 32960-0400 Ph: (772) 783-4223 |
| NPI Number | 1225811409 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 05/16/2024 |
| Certification Date | 05/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225811409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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