| NPI | 1174914048 |
|---|---|
| Doing Business As | THE AUGUSTINE RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | PHILLIP D SNYDER Ad MIS Sions Supervisor 904-217-0480 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: FL 5501) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-02-21 |