Footprints Beachside Recovery INC
NPI #1487002457 in Treasure Island, Florida
Provider Information
- NPI Number
- 1487002457
- Entity Type
- Organization
- Organization Name
- Footprints Beachside Recovery INC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 31, 2016
- Last Updated
- May 31, 2016
Practice Location
- Address
- 151 107TH AVE
- Address 2
- SUITE 13
- City
- Treasure Island
- State
- Florida
- ZIP Code
- 33706-4734
- Phone
- (727) 954-3908
Authorized Official
- Name
- NICOLA RAJARAM
- Title
- BILLING MANAGER
- Phone
- (954) 272-6723
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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