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Organization
BEACHES RECOVERY SERVICES LLC
Active
Organization
BEACHES RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAM DARCY MA, CAP (COMPLIANCE DIRECTOR)
(575) 779-2456
Entity
Organization
Contact information
Practice address
75 12TH ST S, JACKSONVILLE BEACH, FL 32250-3422
(904) 685-9083
(904) 485-8427
Mailing address
75 12TH ST S, JACKSONVILLE BEACH, FL 32250-3422
(904) 685-9083
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
NULL
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
NULL
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
03/27/2015
Last updated
05/16/2024
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