Whalio Doctors

NPI 1669039061

Premiere Addiction Recovery, LLC

Organisation Substance Use Disorder Rehabilitation Hospital Unit Cocoa, FL

Practice location

Address
225 N Burnett Rd, Cocoa, FL 32926-4242
Phone
(561) 722-8055
Mailing address
51 Forest Rd 316/338, Monroe, NY 10950-2948

Authorised official

Name
Moses Friedman
Title
Owner
Phone
(718) 974-8554

Registered specialties (2)

Substance Use Disorder Rehabilitation Hospital Unit Primary
Hospital Units Taxonomy 276400000X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X

Registry record

NPI
1669039061
Entity type
Organization
NPI issued
22 May 2019
Record last updated
10 Nov 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.