Organization
BEACHES RECOVERY SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA YOST (CEO)
(904) 236-5999
Entity
Organization
Contact information
Practice address
390 16TH AVE S, JACKSONVILLE, FL 32250-4961
(904) 685-9083
Mailing address
390 16TH AVE S, JACKSONVILLE BEACH, FL 32250-4961
(904) 685-9083
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
10/07/2014
Last updated
02/09/2023
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