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Bridge To Shore Recovery, Llc
Substance Abuse Rehabilitation Facility in Saint Augustine, Florida
NPI 1265004576

Bridge To Shore Recovery, Llc is a Substance Abuse Rehabilitation Facility based in Saint Augustine, FL. Bridge To Shore Recovery, Llc practices in Saint Augustine, FL. The NPI Number for Bridge To Shore Recovery, Llc is 1265004576 and holds a License No. (Florida).

The current practice location address for Bridge To Shore Recovery, Llc is 3 Davis St, Saint Augustine, FL and can be reached out via phone at 042-170-4809 and via fax at 904-217-3081.

Location: 3 Davis St, Saint Augustine, FL, 32086-7089
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1265004576
Provider Name
Bridge To Shore Recovery, Llc
Credential
Provider Entity Type
Organization
Address
3 Davis St, Saint Augustine, FL, 32086-7089
Phone Number
042-170-4809
Fax Number
904-217-3081
Provider Enumeration Date
07/15/2021
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ME38055 01 FL MD
MH17663 01 FL LMHC
SW16603 01 FL LCSW
APRN2520572 01 FL APRN
institution
Provider Business Practice Location Address Details
Address
3 Davis St
City
Saint Augustine
State
Florida
Zip
32084-0476
Phone Number
042-170-4809
Fax Number
904-217-3081
person
Provider Business Mailing Address Details
Address
3 Davis St
City
Saint Augustine
State
Florida
Zip
32084-0476
Phone Number
042-170-4809
Fax Number
904-217-3081
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
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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