Organization
TURNING TIDES EATING DISORDER TREATMENT CENTER, LLC.
Active
Organization
TURNING TIDES EATING DISORDER TREATMENT CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT I YAGODA LMHC (CEO/ CLINICAL DIRECTOR)
(305) 632-4863
Entity
Organization
Contact information
Practice address
4300 MARSH LANDINGS BLVD. #101, JACKSONVILLE BEACH, FL 32250
(305) 632-4863
Mailing address
10432 N LAKE VISTA CIR, DAVIE, FL 33328-1140
(305) 632-4863
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/22/2018
Last updated
05/22/2018
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