Organization
BRIDGE TO SHORE RECOVERY, LLC
Active
Parent organization
THE AUGUSTINE RECOVERY CENTER
Other names
The Augustine Recovery Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE AUGUSTINE RECOVERY CENTER
Authorized official
PHILLIP D SNYDER (ADMISSIONS SUPERVISOR)
(904) 217-0480
Entity
Organization
Contact information
Practice address
3 DAVIS ST, SAINT AUGUSTINE, FL 32084-0476
(042) 170-4809
(904) 217-3081
Mailing address
3930 US 1 S, SAINT AUGUSTINE, FL 32086-7089
(904) 217-0480
(904) 217-3081
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
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
07/15/2021
Last updated
02/22/2024
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