AMETHYST RECOVERY CENTER; NPI #1396132122

Contact Information

AMETHYST RECOVERY CENTER

2000 SE PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34952

Phone: 888-241-7124
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Substance Abuse Disorder Rehabilitation Facility	324500000X

Indicates primary specialty

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NPI Profile & details for AMETHYST RECOVERY CENTER

NPI #	`1396132122`
LBN Legal business name	AMETHYST RECOVERY CENTER
Authorized official	IAN TREACY - (CEO)
Entity	Organization
Organization subpart ¹	No
Enumeration date	04/20/2015
Last updated	04/20/2015 - About 11 years ago
Identifiers	n/a

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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