institution
Hippodrome State Theatre
Addiction (Substance Use Disorder) Counselor in Gainesville, Florida
NPI 1558365833

Hippodrome State Theatre is an Addiction (Substance Use Disorder) Counselor based in Gainesville, FL and is specialized in Addiction (Substance Use Disorder). Hippodrome State Theatre practices in Gainesville, FL. The NPI Number for Hippodrome State Theatre is 1558365833 and holds a License No. 0301AD068701 (Florida).

The current practice location address for Hippodrome State Theatre is 25 Se 2Nd Pl, Gainesville, FL and can be reached out via phone at 352-373-5968 and via fax at 352-371-9130.

Location: 25 Se 2Nd Pl, Gainesville, FL, 32601-6567
institution
Provider Profile Details
NPI Number
1558365833
Provider Name
Hippodrome State Theatre
Credential
Provider Entity Type
Organization
Address
25 Se 2Nd Pl, Gainesville, FL, 32601-6567
Phone Number
352-373-5968
Fax Number
352-371-9130
Provider Enumeration Date
06/02/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
25 Se 2Nd Pl
City
State
Zip
32601-6567
Phone Number
352-373-5968
Fax Number
352-371-9130
person
Provider Business Mailing Address Details
Address
25 Se 2Nd Pl
City
State
Zip
32601-6567
Phone Number
352-373-5968
Fax Number
352-371-9130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0301AD068701 (Florida)
Definition
Definition to come...
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