Organization
A DESTINY TO RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDUL WAHEED KHAN (OWNER)
(352) 708-4126
Entity
Organization
Contact information
Practice address
1184 S GRAND HWY, CLERMONT, FL 34711-3203
(352) 708-4126
(352) 708-8291
Mailing address
1184 S GRAND HWY, CLERMONT, FL 34711-3203
(352) 708-4126
(352) 708-8291
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Enumeration date
10/21/2016
Last updated
11/01/2016
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