Organization
UNITED RECOVERY COAST
Active
Other names
Recovery Coast
Organization subpart
No
Provider details
NPI number
Authorized official
TIM JOHNSON (CEO)
(904) 429-4422
Entity
Organization
Contact information
Practice address
340 16TH AVE N, JACKSONVILLE, FL 32250-4819
(904) 429-4422
Mailing address
340 16TH AVE N, JACKSONVILLE, FL 32250-4819
(904) 429-4422
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/13/2016
Last updated
10/13/2016
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