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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