| Opiate Recovery Network, Llc | |
|
6101 Martin Luther King Jr Blvd St. Petersburg FL 33713 | |
| (727) 527-6200 | |
| Not Available |
| Full Name | Opiate Recovery Network, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 6101 Martin Luther King Jr Blvd, St. Petersburg, Florida |
| Authorized Official Name and Position | Oswald Williams (PARTICIPATING MANAGER) |
| Authorized Official Contact | 8137740677 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Opiate Recovery Network, Llc 502 Pasadena Ave S St Petersburg FL 33707-2126 Ph: (727) 381-9500 | Opiate Recovery Network, Llc 6101 Martin Luther King Jr Blvd St. Petersburg FL 33713 Ph: (727) 527-6200 |
| NPI Number | 1740696442 |
|---|---|
| Provider Enumeration Date | 07/02/2014 |
| Last Update Date | 07/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740696442 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | ME62503 (Florida) | Primary |
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