NPI 1598130098

Coastal Detox, INC

Organisation Substance Abuse Rehabilitation Facility Stuart, FL

Practice location

Address: 1131 SE Indian St, Stuart, FL 34997-5688
Phone: (772) 612-0130
Mailing address: 3007 SW Martin Downs Blvd, Palm City, FL 34990-2644

Authorised official

Name: Christina Tucker
Title: Chief Executive Officer
Phone: (772) 219-1355

Registered specialties (8)

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

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Occupational Health Chiropractor

Chiropractic Providers Taxonomy 111NX0100X

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Psychiatry Physician

Allopathic & Osteopathic Physicians Taxonomy 2084P0800X

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Massage Therapist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225700000X

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Special Hospital

Hospitals Taxonomy 284300000X

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Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X

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Medical Physician Assistant

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363AM0700X

Family Nurse Practitioner

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363LF0000X

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Registry record

NPI: 1598130098
Entity type: Organization
NPI issued: 9 Dec 2015
Record last updated: 1 Oct 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.