| New Season Treatment Center 15 | |
|
3574 Us 1 S Suites 101-104 St Augustine FL 32086-6466 | |
| (904) 217-7161 | |
| (904) 217-4075 |
| Full Name | New Season Treatment Center 15 |
|---|---|
| Speciality | Clinic/center - Methadone |
| Location | 3574 Us 1 S, St Augustine, Florida |
| Authorized Official Name and Position | Maria Jackson (CFO) |
| Authorized Official Contact | 4073517080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Season Treatment Center 15 2500 Maitland Center Parkway Suite 250 Maitland FL 32751-4174 Ph: (407) 351-7080 | New Season Treatment Center 15 3574 Us 1 S Suites 101-104 St Augustine FL 32086-6466 Ph: (904) 217-7161 |
| NPI Number | 1215379862 |
|---|---|
| Provider Enumeration Date | 07/24/2013 |
| Last Update Date | 11/04/2022 |
| Certification Date | 11/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215379862 | NPI | - | NPPES |
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