| Foundations Pediatrics Assessment And Treatment Center | |
|
245 Land Grant Street Suite 3 Saint Augustine FL 32092 | |
| (904) 370-3420 | |
| Not Available |
| Full Name | Foundations Pediatrics Assessment And Treatment Center |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 245 Land Grant Street, Saint Augustine, Florida |
| Authorized Official Name and Position | Jill Driest (OWNER) |
| Authorized Official Contact | 9043703420 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foundations Pediatrics Assessment And Treatment Center 247 Orchard Ln Saint Augustine FL 32095-0031 Ph: (954) 895-3006 | Foundations Pediatrics Assessment And Treatment Center 245 Land Grant Street Suite 3 Saint Augustine FL 32092 Ph: (904) 370-3420 |
| NPI Number | 1245086040 |
|---|---|
| Provider Enumeration Date | 04/24/2024 |
| Last Update Date | 04/24/2024 |
| Certification Date | 04/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245086040 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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