| Palm Coast Recovery Center Llc | |
|
160 Cypress Point Pkwy Palm Coast FL 32164-8433 | |
| (386) 986-6498 | |
| Not Available |
| Full Name | Palm Coast Recovery Center Llc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility |
| Location | 160 Cypress Point Pkwy, Palm Coast, Florida |
| Authorized Official Name and Position | Zachary Miller (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3869866498 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Palm Coast Recovery Center Llc 160 Cypress Point Pkwy Palm Coast FL 32164-8433 Ph: (386) 986-6498 | Palm Coast Recovery Center Llc 160 Cypress Point Pkwy Palm Coast FL 32164-8433 Ph: (386) 986-6498 |
| NPI Number | 1477013696 |
|---|---|
| Provider Enumeration Date | 03/22/2019 |
| Last Update Date | 05/18/2022 |
| Certification Date | 05/18/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477013696 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 324500000X | Substance Abuse Rehabilitation Facility | (* (Not Available)) | Primary |
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Verones And Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2 Pine Lakes Pkwy N, Suite 6, Palm Coast, FL 32137 Phone: 386-447-4145 Fax: 386-447-2827 | |
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