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ALACHUA COUNTY METAMORPHOSIS NPI 1275735649


NPI Information

NPI: 1275735649
Provider Name: ALACHUA COUNTY METAMORPHOSIS
Classification: Substance Abuse Rehabilitation Facility - 324500000X
Entity Type: Organization
Address:
4201 SW 21ST PL
GAINESVILLE, FL
ZIP 32607
Phone: (352) 955-2450
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ALACHUA COUNTY METAMORPHOSIS is a substance abuse rehabilitation facility in Gainesville, FL. The provider is 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. ALACHUA COUNTY METAMORPHOSIS NPI is 1275735649. The provider is registered as an organization entity type.

The provider's business location address is:

4201 SW 21ST PL
GAINESVILLE, FL
ZIP 32607-282
Phone: (352) 955-2450
Fax: (352) 955-2452

The provider's authorized official is Melanie Corona .
The authorized official title is Clinical Supervisor and has the following contact phone number (352) 955-2450.

The enumeration date for this NPI number is 6/5/2007 and was last updated on 3/24/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1324500000XSubstance Abuse Rehabilitation Facility0301AD050101FLORIDAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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