Organization
FOUNDATIONS PEDIATRICS ASSESSMENT AND TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILLENE DRIEST PH.D. (OWNER)
(954) 895-3006
Entity
Organization
Contact information
Practice address
495 PROSPERITY LAKE DR STE 101, SAINT AUGUSTINE, FL 32092-5045
(954) 895-3006
Mailing address
495 PROSPERITY LAKE DR STE 101, SAINT AUGUSTINE, FL 32092-5045
(954) 895-3006
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/07/2016
Last updated
04/16/2024
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