Healthcare Provider Details

I. General information

NPI: 1417214297
Provider Name (Legal Business Name): ACCEPTANCE COUNSELING SERVICES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2012
Last Update Date: 10/31/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

760 NW 4TH ST
MIAMI FL
33128-1464
US

IV. Provider business mailing address

760 NW 4TH ST
MIAMI FL
33128-1464
US

V. Phone/Fax

Practice location:
  • Phone: 305-547-1177
  • Fax:
Mailing address:
  • Phone: 305-547-1177
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN COLLISON
Title or Position: BILLING COORDINATOR
Credential:
Phone: 754-201-2265