Antidote Recovery Llc | |
3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 | |
(812) 624-1180 | |
Not Available |
Full Name | Antidote Recovery Llc |
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Speciality | Social Worker - Clinical |
Location | 3310 E 10th St # 4-156, Jeffersonville, Indiana |
Authorized Official Name and Position | Roberto Miguel Magallanez (CEO) |
Authorized Official Contact | 8126241180 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Antidote Recovery Llc 3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 Ph: (812) 624-1180 | Antidote Recovery Llc 3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 Ph: (812) 624-1180 |
NPI Number | 1467122051 |
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Provider Enumeration Date | 09/15/2021 |
Last Update Date | 09/15/2021 |
Certification Date | 09/15/2021 |
Identifier | Type | State | Issuer |
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1467122051 | NPI | - | NPPES |
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