| NPI | 1770816506 |
|---|---|
| Doing Business As | CLEANSLATE CENTERS |
| Entity Type | Organization |
| Authorized Contact | JESSICA AMICK Director 727-798-8160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0401X Internal Medicine, Addiction Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2022-06-03 |