Organization
SANCTUARY ASO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER SHEPARD (REVENUE CYCLE DIRECTOR)
(941) 363-0878
Entity
Organization
Contact information
Practice address
57 W 57TH ST STE 1101, NEW YORK, NY 10019-2814
(941) 363-0878
(941) 460-5599
Mailing address
1090 S TAMIAMI TRL, SARASOTA, FL 34236-9116
(941) 363-0878
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/11/2020
Last updated
05/11/2020
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