Organization
SEMINOLE ADDICTION TREATMENT SERVICES & COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD B. BROWNE SR. ADVANCED MRT CERTIFI (OWNER, CFO)
(407) 330-7373
Entity
Organization
Contact information
Practice address
2640 HIAWATHA AVENUE, SUITE E, SANFORD, FL 32773
(407) 330-7373
(407) 330-7371
Mailing address
2640 HIAWATHA AVENUE, SUITE E, SANFORD, FL 32773
(407) 330-7373
(407) 330-7371
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
07590700Z
OCA
FL
Enumeration date
05/24/2016
Last updated
11/22/2016
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