Organization · Type 2 NPI

Bayshore Retreat, LLC

Substance Abuse Rehabilitation Facility · Destin, FL

NPI number 1982991121 Active

Practice location

457 Cahoun Ave
Destin, FL 32541

Mailing address

PO Box 365
Destin, FL 32540-0365

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000X0146AD1561-01 (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.

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About NPI 1982991121

Bayshore Retreat, LLC's National Provider Identifier is 1982991121, issued on Jul 8, 2011. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Destin, FL. The record was last updated on Jul 8, 2011.