Organization
JOSEPH STOREHOUSE OF FLORIDA RESTORATION CENTER
Active
Organization
JOSEPH STOREHOUSE OF FLORIDA RESTORATION CENTER
Active
Other names
Consuming Fire Deliverance inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALPHONSO DAVIS (CEO/LIASON)
(941) 708-3030
Entity
Organization
Contact information
Practice address
1027 9TH ST W, BRADENTON, FL 34205-7330
(941) 708-3030
(941) 708-3838
Mailing address
1027 9TH ST W, BRADENTON, FL 34205-7330
(941) 708-3838
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
1258AD488301
FL
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
07/15/2010
Last updated
07/15/2010
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