OrganizationActive
New Life Addiction Treatment Center
NPI 1881966190 · Substance Abuse Rehabilitation Facility · Port St Lucie, FL
Provider details
- NPI number
- 1881966190
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Parent organization
- Neurodiagnostics of Stuart, PA
- Organization subpart
- Yes
- Authorized official
- Jose Toledo, Ceo & Medical Director(772) 919-1422
- License
- 1956AD877101 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
905 E Prima Vista Blvd
Suite D
Port St Lucie, FL 34952-2359
Phone: (855) 337-8500
Fax: (772) 337-8505
Street-level locationGet directions
Mailing address
905 E Prima Vista Blvd
Port St Lucie, FL 34952-2359
Registry dates
- Enumerated
- 2012-02-01
- Last updated
- 2012-02-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.