Hippodrome State Theatre
NPI #1558365833 in Gainesville, Florida
Provider Information
- NPI Number
- 1558365833
- Entity Type
- Organization
- Organization Name
- Hippodrome State Theatre
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- Jun 2, 2005
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 25 SE 2ND PL
- City
- Gainesville
- State
- Florida
- ZIP Code
- 32601-6567
- Phone
- (352) 373-5968
Authorized Official
- Name
- MS. MARY HAUSCH
- Title
- PRODUCING DIRECTOR
- Phone
- (352) 373-5968
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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