Organization
OPIATE RECOVERY NETWORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSWALD WILLIAMS MD (PARTICIPATING MANAGER)
(813) 774-0677
Entity
Organization
Contact information
Practice address
6101 MARTIN LUTHER KING JR BLVD, ST. PETERSBURG, FL 33713
(727) 527-6200
Mailing address
502 PASADENA AVE S, ST PETERSBURG, FL 33707-2126
(727) 381-9500
(727) 347-0893
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
ME62503
FL
Other
Enumeration date
07/02/2014
Last updated
07/02/2014
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