|
| |
|
4553 Watkins Street Pace FL 32571-2511 | |
| (904) 438-7640 | |
| (904) 438-7656 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 4553 Watkins Street, Pace, Florida |
| Authorized Official Name and Position | Brian Phillip Farley (VP & SECRETARY) |
| Authorized Official Contact | 6157169335 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6183 Paseo Del Norte Suite 200 Carlsbad CA 92011-1155 Ph: (855) 259-2288 | 4553 Watkins Street Pace FL 32571-2511 Ph: (904) 438-7640 |
| NPI Number | 1902405749 |
|---|---|
| Provider Enumeration Date | 10/22/2020 |
| Last Update Date | 12/03/2024 |
| Certification Date | 12/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902405749 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 261QM2800X | Clinic/center - Methadone | (* (Not Available)) | Primary |
Behavior Quest Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5345 Highway 90, Pace, FL 32571 Phone: 850-463-4999 Fax: 850-361-3443 | |
Accent Usa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4273 Dana St, Pace, FL 32571 Phone: 850-865-3981 Fax: 866-675-6298 | |
Peace By Pieces Mental Health Services, Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5649 Sandstone Dr, Pace, FL 32571 Phone: 601-479-9089 | |
Leisa D. Ludlam, Ph.d.,p.a. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4509 Woodbine Rd, Pace, FL 32571 Phone: 850-995-2500 Fax: 850-995-2501 | |
Cornerstone Counseling And Wellness Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4286 Woodbine Rd Ste A, Pace, FL 32571 Phone: 850-259-9501 | |
Partners Family Medicine Practice & Recovery Center Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 4453 Highway 90, Pace, FL 32571 Phone: 850-905-0110 | |
Pace Pastoral Counseling Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4587 Woodbine Rd, Pace, FL 32571 Phone: 850-995-9732 |