Organization
RECOVERY COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM JOHNSON (CEO)
(904) 429-4422
Entity
Organization
Contact information
Practice address
340 16TH AVE N, JACKSONVILLE, FL 32250-4819
(904) 429-4422
(904) 429-3472
Mailing address
340 16TH AVE N, JACKSONVILLE, FL 32250-4819
(904) 429-4422
(904) 429-3472
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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