Organization · Type 2 NPI

Tides Edge Recovery Services LLC

Substance Abuse Rehabilitation Facility · Jacksonville Beach, FL

NPI number 1700610789 Active

Practice location

144 11th Ave N
Jacksonville Beach, FL 32250-7224

Mailing address

75 12th St S
Jacksonville Beach, FL 32250-3422

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

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About NPI 1700610789

Tides Edge Recovery Services LLC's National Provider Identifier is 1700610789, issued on Aug 30, 2024. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Jacksonville Beach, FL. The record was last updated on Aug 30, 2024.