OrganizationActive
Direct Clinics Inc
NPI 1689329922 · Adolescent and Children Mental Health Clinic/Center · Port St Lucie, FL
Provider details
- NPI number
- 1689329922
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Wallace De Rothsman, Ceo
Practice location
8980 S Federal Hwy Ste 100b
Port St Lucie, FL 34952-3482
Phone: (888) 484-2466
Mailing address
2221 Ne 164th St Ste 296
Aventura, FL 33160-3703
Registry dates
- Enumerated
- 2022-02-15
- Last updated
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.