Organization
FOUNDATIONS PEDIATRICS ASSESSMENT AND TREATMENT CENTER
Active
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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