Organization
LIFE SOLUTIONS OUTPATIENT CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAYLOR E GAINES PHARM.D.,C.A.P. (CHIEF EXECUTIVE OFFICER)
(855) 454-3376
Entity
Organization
Contact information
Practice address
1347 E TENNESSEE ST, TALLAHASSEE, FL 32308-5107
(850) 583-5388
(850) 583-5388
Mailing address
1347 E TENNESSEE ST, TALLAHASSEE, FL 32308-5107
(850) 583-5388
(850) 583-5388
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0237AD383201
FL
Other
Enumeration date
06/18/2015
Last updated
06/18/2015
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