| Prodigal Daughters Journey Home, Inc. | |
|
365 Braden Ave Sarasota FL 34243-2021 | |
| (845) 551-2124 | |
| Not Available |
| Full Name | Prodigal Daughters Journey Home, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 365 Braden Ave, Sarasota, Florida |
| Authorized Official Name and Position | Anthony Charles Drake (DIRECTOR OF OUTREACH) |
| Authorized Official Contact | 9413500652 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prodigal Daughters Journey Home, Inc. 365 Braden Ave Sarasota FL 34243-2021 Ph: (845) 551-2124 | Prodigal Daughters Journey Home, Inc. 365 Braden Ave Sarasota FL 34243-2021 Ph: (845) 551-2124 |
| NPI Number | 1043885189 |
|---|---|
| Provider Enumeration Date | 05/21/2021 |
| Last Update Date | 05/21/2021 |
| Certification Date | 05/21/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043885189 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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