Organization
BRIDGE TO SHORE RECOVERY, LLC
Active
Other names
The Augustine Recovery Center
Organization subpart
No
Provider details
NPI number
Authorized official
PHILLIP D SNYDER (ADMISSIONS SUPERVISOR)
(904) 217-0480
Entity
Organization
Contact information
Practice address
3930 US 1 S, ST AUGUSTINE, FL 32086-7089
(904) 540-4232
Mailing address
3930 US 1 S, ST AUGUSTINE, FL 32086-7089
(904) 540-4232
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
5501
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN2520572
APRN
FL
01
—
ME38055
MD
FL
01
—
MH17663
LMHC
FL
01
—
SW16603
LCSW
FL
Enumeration date
02/12/2015
Last updated
02/21/2024
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