National Provider Identifier Database

AMETHYST RECOVERY CENTER
Substance Abuse Disorder 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.


Contact Information

AMETHYST RECOVERY CENTER
2000 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL34952
Phone: 888-241-7124
Fax:
Website:
Specialty Taxonomy Code
* Substance Abuse Disorder Rehabilitation Facility 324500000X

* Indicates primary specialty

NPI Profile & details for AMETHYST RECOVERY CENTER

NPI Number 1396132122
Legal business name
LBN
AMETHYST RECOVERY CENTER
Authorized official IAN TREACY - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/20/2015
Last updated 04/20/2015 - About 11 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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