Provider Demographics
NPI:1649705393
Name:SOLID ROCK RECOVERY LLC
Entity type:Organization
Organization Name:SOLID ROCK RECOVERY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PASQUALE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAMARRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:772561-676-1111
Mailing Address - Street 1:1320 SE FEDERAL HWY
Mailing Address - Street 2:SUITE105
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-3407
Mailing Address - Country:US
Mailing Address - Phone:772-214-1195
Mailing Address - Fax:
Practice Address - Street 1:1320 SE FEDERAL HWY
Practice Address - Street 2:SUITE207
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34994-3407
Practice Address - Country:US
Practice Address - Phone:772-214-1195
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-01
Last Update Date:2017-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder