Organization
FOUNDATIONS PEDIATRICS ASSESSMENT AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL DRIEST (OWNER)
(904) 370-3420
Entity
Organization
Contact information
Practice address
245 LAND GRANT STREET, SUITE 3, SAINT AUGUSTINE, FL 32092
(904) 370-3420
Mailing address
247 ORCHARD LN, SAINT AUGUSTINE, FL 32095-0031
(954) 895-3006
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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