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Organization

TAYLOR COUNTY RECOVERY CENTER, INC.

Active
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Organization

TAYLOR COUNTY RECOVERY CENTER, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. JOYCE J FULLER MPSY, MCAP (OWNER/DIRECTOR/PROVIDER/CEO)
(850) 584-2772
Entity
Organization

Contact information

Practice address
1709 S JEFFERSON ST, PERRY, FL 32348-5612
(850) 584-2772
Mailing address
1709 S JEFFERSON ST, PERRY, FL 32348-5612
(850) 584-2772

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
FL
101YA0400X
Addiction (Substance Use Disorder) Counselor
FL
101YP2500X
Professional Counselor
FL
251S00000X
Community/Behavioral Health Agency
Primary
FL

Other

Enumeration date
09/09/2016
Last updated
09/09/2016
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