NEW LIFE ADDICTION TREATMENT CENTER
NPI 1881966190
Substance Abuse Rehabilitation Facility in Port St Lucie, FL

Active since February 01, 2012
905 E PRIMA VISTA BLVD, SUITE D, PORT ST LUCIE, FL 34952(855) 337-8500(772) 337-8505 Get Directions Write a Review

NPPES record last updated: February 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About New Life Addiction Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NEW LIFE ADDICTION TREATMENT CENTER (NPI 1881966190) is a healthcare organization registered as a substance abuse rehabilitation facility in Port St Lucie, Florida and active in the NPI registry since February 2012. The organization lists Jose Toledo, Ceo & Medical Director, as its authorized official.

NPPES Registry Identity

NPI1881966190
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameNEW LIFE ADDICTION TREATMENT CENTER
Location Address905 E PRIMA VISTA BLVD, SUITE DPort St Lucie, FL 34952-2359
Mailing Address905 E Prima Vista Blvd, Suite DPort St Lucie, FL 34952-2359 · (855) 337-8500 · Fax (772) 337-8505
Fax(772) 337-8505
Organization SubpartYesParent: Neurodiagnostics Of Stuart, Pa
Authorized OfficialJose ToledoCeo & Medical Director · (772) 919-1422
Enumeration DateFebruary 1, 2012
NPI 1881966190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
License Licensed in FL · 1956AD877101
Definition

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.

905 E PRIMA VISTA BLVD, Port St Lucie, FL 34952

Other Identifiers 1

Medicare UPINF-07905FL

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1881966190, enumerated as an "organization" on February 01, 2012.

The provider is located at 905 E PRIMA VISTA BLVD SUITE D PORT ST LUCIE, FL 34952 and the phone number is (855) 337-8500.

Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.