| NPI | 1245780220 |
|---|---|
| Doing Business As | RECOVERY COAST |
| Entity Type | Organization |
| Authorized Contact | TIM JOHNSON CEO 904-429-4422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2016-10-13 |