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Bridge To Shore Recovery, Llc
Substance Abuse Rehabilitation Facility in St Augustine, Florida
NPI 1174914048

Bridge To Shore Recovery, Llc is a Substance Abuse Rehabilitation Facility based in St Augustine, FL. Bridge To Shore Recovery, Llc practices in St Augustine, FL. The NPI Number for Bridge To Shore Recovery, Llc is 1174914048 and holds a License No. (Florida).

The current practice location address for Bridge To Shore Recovery, Llc is 3930 Us 1 S, St Augustine, FL and can be reached out via phone at 904-540-4232. You can also correspond with Bridge To Shore Recovery, Llc through the mailing address at 3930 US 1 S, ST AUGUSTINE, FL - 32086-7089 (mailing address contact number: 904-540-4232).

Location: 3930 Us 1 S, St Augustine, FL, 32086-7089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1174914048
Provider Name
Bridge To Shore Recovery, Llc
Credential
Provider Entity Type
Organization
Address
3930 Us 1 S, St Augustine, FL, 32086-7089
Phone Number
904-540-4232
Fax Number
Provider Enumeration Date
02/12/2015
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME38055 01 FL MD
APRN2520572 01 FL APRN
SW16603 01 FL LCSW
MH17663 01 FL LMHC
institution
Provider Business Practice Location Address Details
Address
3930 Us 1 S
City
St Augustine
State
Florida
Zip
32086-7089
Phone Number
904-540-4232
Fax Number
person
Provider Business Mailing Address Details
Address
3930 Us 1 S
City
St Augustine
State
Florida
Zip
32086-7089
Phone Number
904-540-4232
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
5501 (Florida)
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
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.
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