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Organization
SPENCER RECOVERY CENTERS FLORIDA, INC.
Active
Organization
SPENCER RECOVERY CENTERS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FRANCIS KANUTE (CHIEF OPERATIONS OFFICER)
(949) 315-9225
Entity
Organization
Contact information
Practice address
189 SAN MARCO AVE, ST AUGUSTINE, FL 32084-2733
(800) 334-0394
(949) 313-5222
Mailing address
PO BOX 9296, LAGUNA BEACH, CA 92652-7261
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
NULL
324500000X
Substance Abuse Rehabilitation Facility
0755AD237401
FL
Other
Enumeration date
05/14/2015
Last updated
10/02/2023
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