Organization
ALACHUA COUNTY METAMORPHOSIS
Active
Parent organization
ALACHUA COUNTY BOCC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALACHUA COUNTY BOCC
Authorized official
MELANIE CORONA LMHC (CLINICAL SUPERVISOR)
(352) 955-2450
Entity
Organization
Contact information
Practice address
4201 SW 21ST PL, GAINESVILLE, FL 32607-4282
(352) 955-2450
(352) 955-2452
Mailing address
4201 SW 21ST PL, GAINESVILLE, FL 32607-4282
(352) 955-2450
(352) 955-2452
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
0301AD050101
FL
Other
Enumeration date
06/05/2007
Last updated
03/24/2009
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