Organization · Type 2 NPI

Bridge To Shore Recovery, LLC

Substance Abuse Rehabilitation Facility · St. Augustine, FL

NPI number 1174914048 Active

Practice location

3930 US 1 S
St. Augustine, FL 32086-7089

Call (904) 540-4232 Map

Other practice locations

3 Davis St, St. Augustine, FL 32084-0476 · (904) 217-0480

Specialties and licenses

Taxonomy	Code	License
Psychiatric Residential Treatment Facility	323P00000X	None listed
Substance Abuse Rehabilitation Facility Primary	324500000X	5501 (FL)

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

Another provider at this address

Mark F. Jackson, MDAddiction Medicine (Anesthesiology) Physician St. Augustine, FL NPI 1255470209

Other substance abuse rehabilitation facility providers in St. Augustine

See all in St. Augustine →

NPI record

NPI: 1174914048
Entity type: Organization (Type 2)
Issued: Feb 12, 2015
Last updated: Feb 21, 2024
Status: Active

Other names

<unavail>
The Augustine Recovery Center · doing business as
The Augustine Recovery Center · doing business as

Authorized official

Phillip D Snyder
Admissions Supervisor
(904) 217-0480

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1174914048

Bridge To Shore Recovery, LLC's National Provider Identifier is 1174914048, issued on Feb 12, 2015. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in St. Augustine, FL. The record was last updated on Feb 21, 2024.