Addiction and Intervention Professionals, Llc.
NPI #1023326014 in St Augustine, Florida
Provider Information
- NPI Number
- 1023326014
- Entity Type
- Organization
- Organization Name
- Addiction and Intervention Professionals, Llc.
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 23, 2010
- Last Updated
- Sep 23, 2010
Practice Location
- Address
- 352 PASEO REYES DR
- City
- St Augustine
- State
- Florida
- ZIP Code
- 32095-8464
- Phone
- (904) 808-8373
Authorized Official
- Name
- BRIAN WILLIAM JACKSON, DR. AD, CAP
- Title
- EXECUTIVE DIRECTOR
- Phone
- (904) 808-8373
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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