ADDICTION AND INTERVENTION PROFESSIONALS LLC. NPI 1023326014

NPI Information

NPI: 1023326014
Provider Name: ADDICTION AND INTERVENTION PROFESSIONALS, LLC.
Classification: Clinic/Center - 261QR0405X
Entity Type: Organization

Specialization: Rehabilitation, Substance Use Disorder

Address:
352 PASEO REYES DR
ST AUGUSTINE, FL
ZIP 32095
Phone: (904) 808-8373
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ADDICTION AND INTERVENTION PROFESSIONALS, LLC. is a rehabilitation and substance use disorder clinic center in St Augustine, FL. ADDICTION AND INTERVENTION PROFESSIONALS, LLC. NPI is 1023326014. The provider is registered as an organization entity type.

The provider's business location address is:

352 PASEO REYES DR
ST AUGUSTINE, FL
ZIP 32095-464
Phone: (904) 808-8373
Fax: (904) 808-8390

The provider's authorized official is Brian William Jackson .
The authorized official title is Executive Director and has the following contact phone number (904) 808-8373.

The enumeration date for this NPI number is 9/23/2010 and was last updated on 9/23/2010.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder		FLORIDA	Yes

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

NPI Synchronization or Removal

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