Organization
SPENCER RECOVERY CENTERS FLORIDA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES FRANCIS KANUTE (CHIEF OPERATIONS OFFICER)
(949) 315-9225
Entity
Organization
Contact information
Practice address
189 SAN MARCO AVE, ST AUGUSTINE, FL 32084-2733
(800) 334-0394
(949) 313-5222
Mailing address
PO BOX 9296, LAGUNA BEACH, CA 92652-7261
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
0755AD237401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
E5N
FLORIDA BLUE
FL
01
—
S5B
FLORIDA BLUE
FL
Enumeration date
05/14/2015
Last updated
10/02/2023
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