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
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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