MR. Carl Edward Smith JR., CRRA
NPI #1982376521 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1982376521
- Entity Type
- Individual
- Name
- MR. Carl Edward Smith JR., CRRA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Credential
- CRRA
- Enumeration Date
- Oct 1, 2021
- Last Updated
- Oct 1, 2021
Practice Location
- Address
- 527 N RIDGEWOOD AVE
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-2107
- Phone
- (386) 319-6160
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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