NPI | 1033133616 |
---|---|
Doing Business As | BREAKTHROUGHS COUNSELING & RECOVERY |
Entity Type | Organization |
Authorized Contact | CIN DY BETH FALOR Clinical Director 904-419-6102 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL sw1793) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: FL 0416AD834400) | |
Enumeration Date | 2006-07-27 |
Last Update Date | 2014-07-01 |