St John's Recovery Place LLC
NPI #1215429436 in Crescent City, Florida
Provider Information
- NPI Number
- 1215429436
- Entity Type
- Organization
- Organization Name
- St John's Recovery Place LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jun 4, 2018
- Last Updated
- Jun 4, 2018
Practice Location
- Address
- 1125 N SUMMIT ST
- City
- Crescent City
- State
- Florida
- ZIP Code
- 32112-1721
- Phone
- (954) 945-2984
Authorized Official
- Name
- SHIMON BUHADANA
- Title
- CEO/OWNER
- Phone
- (954) 658-7148
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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