| NPI | 1134775976 |
|---|---|
| Doing Business As | BAYSIDE RECOERY AND WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | MORGAN O'SHAUGHNESSY CEO/Clincial Director 321-372-6897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2019-08-16 |
| Last Update Date | 2021-12-13 |