Organization · Type 2 NPI

Bridge To Shore Recovery, LLC

Substance Abuse Rehabilitation Facility · St. Augustine, FL

NPI number 1265004576 Active

Practice location

3 Davis St
St. Augustine, FL 32084-0476

Call (042) 170-4809 Map

Fax (904) 217-3081

Mailing address

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

Specialties and licenses

Taxonomy	Code	License
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed
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.

Other substance abuse rehabilitation facility providers in St. Augustine

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NPI record

NPI: 1265004576
Entity type: Organization (Type 2)
Issued: Jul 15, 2021
Last updated: Feb 22, 2024
Status: Active
Subpart: Yes of The Augustine Recovery Center

Other names

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The Augustine Recovery Center · doing business as

Authorized official

Phillip D Snyder
Admissions Supervisor
(904) 217-0480

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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 1265004576

Bridge To Shore Recovery, LLC's National Provider Identifier is 1265004576, issued on Jul 15, 2021. 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 22, 2024.