Bayshore Retreat, LLC

NPI #1982991121 in Destin, Florida

Provider Information

NPI Number
1982991121
Entity Type
Organization
Organization Name
Bayshore Retreat, LLC
Primary Specialty
Substance Abuse Rehabilitation Facility
Enumeration Date
Jul 8, 2011
Last Updated
Jul 8, 2011

Practice Location

Address
457 CAHOUN AVE
City
Destin
State
Florida
ZIP Code
32541
Phone
(850) 269-3975

Authorized Official

Name
JEFFREY JENKS
Title
COO
Phone
(850) 269-3975

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility

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