| Antidote Recovery Llc | |
|
3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 | |
| (812) 624-1180 | |
| Not Available |
| Full Name | Antidote Recovery Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3310 E 10th St # 4-156, Jeffersonville, Indiana |
| Authorized Official Name and Position | Roberto Miguel Magallanez (CEO) |
| Authorized Official Contact | 8126241180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Antidote Recovery Llc 3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 Ph: (812) 624-1180 | Antidote Recovery Llc 3310 E 10th St # 4-156 Jeffersonville IN 47130-7285 Ph: (812) 624-1180 |
| NPI Number | 1467122051 |
|---|---|
| Provider Enumeration Date | 09/15/2021 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467122051 | NPI | - | NPPES |
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