Organization
THE CENTER FOR DRUG FREE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DICK JACOBS LCSW (PRESIDENT)
(407) 245-0045
Entity
Organization
Contact information
Practice address
3670 MAGUIRE BLVD, ORLANDO, FL 32803-3071
(407) 245-0045
(407) 245-0049
Mailing address
3670 MAGUIRE BLVD, ORLANDO, FL 32803-3071
(407) 245-0045
(407) 245-0049
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0748AD294103
FL
Other
Enumeration date
01/08/2008
Last updated
01/08/2008
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