Organization · Type 2 NPI
ST John's Recovery Place LLC
Substance Abuse Rehabilitation Facility · Crescent City, FL
NPI number
1215429436
Active
Practice location
1125 N Summit St
Crescent City, FL 32112-1721
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Abuse Rehabilitation Facility Primary | 324500000X | None listed |
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.
About NPI 1215429436
ST John's Recovery Place LLC's National Provider Identifier is 1215429436, issued on Jun 4, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Crescent City, FL. The record was last updated on Jun 4, 2018.