DUTCH MARK VAN ALSTIN

BRADENTON, FL
NPI1780370890
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2023-04-12
Last Update Date2023-04-12
Business Address
DUTCH MARK VAN ALSTIN
201 2ND ST E
BRADENTON, FL 34208-1030
Phone number: 941-932-2440
Mailing Address
DUTCH MARK VAN ALSTIN
725 LEFFINGWELL AVE
ELLENTON, FL 34222-2219
Phone number: 941-932-2440