Organization
PRINCIPLES RECOVERY CENTER LLC
Active
Other names
AWA: ADOLESCENT WELLNESS ACADEMY
Organization subpart
No
Provider details
NPI number
Authorized official
DUSTIN JOHNSON (ADMIN)
(561) 816-9023
Entity
Organization
Contact information
Practice address
4343 S STATE ROAD 7 STE 101, DAVIE, FL 33314-4009
(954) 368-1344
(954) 368-1345
Mailing address
4343 S STATE ROAD 7 STE 101, DAVIE, FL 33314-4009
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
04/20/2015
Last updated
08/12/2024
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