Organization
BAYSIDE RECOVERY AND WELLNESS CENTER LLC
Active
Organization
BAYSIDE RECOVERY AND WELLNESS CENTER LLC
Active
Other names
BAYSIDE RECOERY AND WELLNESS CENTER LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MORGAN O'SHAUGHNESSY LMHC (CEO/CLINCIAL DIRECTOR)
(321) 372-6897
Entity
Organization
Contact information
Practice address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 372-6897
(321) 372-6896
Mailing address
1501 ROBERT J CONLAN BLVD NE STE 7, PALM BAY, FL 32905-3559
(321) 372-6897
(321) 372-6896
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
08/16/2019
Last updated
12/13/2021
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