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Organization

HEARTHSTONE FELLOWSHIP FOUNDATION, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANET G. MINOR M.S. (PROGRAM DIRECTOR)
(386) 238-1348
Entity
Organization

Contact information

Practice address
814 N BEACH ST, DAYTONA BEACH, FL 32114-2234
(386) 238-1348
(386) 238-0171
Mailing address
814 N BEACH ST, DAYTONA BEACH, FL 32114-2234
(386) 238-1348
(386) 238-0171

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
0764AD071101
FL

Other

Enumeration date
08/12/2014
Last updated
08/12/2014
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