Kimberly Regenesis
NPI #1811342397 in Ft Myers, Florida
Provider Information
- NPI Number
- 1811342397
- Entity Type
- Organization
- Organization Name
- Kimberly Regenesis
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- May 3, 2016
- Last Updated
- Jul 21, 2016
Practice Location
Authorized Official
- Name
- MR. THOMAS MICHAEL MOURACADE
- Title
- PRINCIPAL/OWNER
- Phone
- (239) 313-0296
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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