Organization
WILLOWBEND RETREATS, LLC
Active
Other names
Willowbend Recovery
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL DYLAN GREGORY (CEO)
(941) 328-8953
Entity
Organization
Contact information
Practice address
2033 WOOD ST, SUITE 215, SARASOTA, FL 34237-7900
(941) 328-8953
(941) 866-0427
Mailing address
2033 WOOD ST, SUITE 215, SARASOTA, FL 34237-7900
(941) 328-8953
(941) 866-0427
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
12-58-AD-6213-01
FL
Other
Enumeration date
08/13/2010
Last updated
08/13/2010
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