Organization
THE CENTER FOR DRUG FREE LIVING
Active
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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