| NPI | 1184223406 |
|---|---|
| Doing Business As | ST JOHN'S RECOVERY PLACE LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON SMITH COO 954-945-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2020-10-19 |