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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