| Polk County Drug Court | |
|
255 N Broadway Ave Bartow FL 33830-3912 | |
| (863) 534-4983 | |
| (863) 534-5854 |
| Full Name | Polk County Drug Court |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 255 N Broadway Ave, Bartow, Florida |
| Authorized Official Name and Position | Jim B. Hornsby (DRUG COURT MANAGER) |
| Authorized Official Contact | 8635344503 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Polk County Drug Court 255 N Broadway Ave Bartow FL 33830-3912 Ph: (863) 534-4983 | Polk County Drug Court 255 N Broadway Ave Bartow FL 33830-3912 Ph: (863) 534-4983 |
| NPI Number | 1467405597 |
|---|---|
| Provider Enumeration Date | 05/18/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467405597 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 1453AD187401 (Florida) | Primary |
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Polk Halfway House Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2145 Bob Phillips Rd, Bartow, FL 33830 Phone: 863-519-5581 Fax: 863-519-6603 | |
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