Individual provider · Type 1 NPI
Carl Edward Smith Jr., CRRA
Substance Use Disorder Rehabilitation Clinic/Center · Daytona Beach, FL
NPI number
1982376521
Active
Practice location
527 N Ridgewood Ave
Daytona Beach, FL 32114-2107
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | IND-877173 (FL) |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
Another provider at this address
About NPI 1982376521
Carl Edward Smith Jr., CRRA's National Provider Identifier is 1982376521, issued on Oct 1, 2021. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Daytona Beach, FL. The record was last updated on Oct 1, 2021.