Healthcare Provider Details

I. General information

NPI: 1023248283
Provider Name (Legal Business Name): THE REFUGE - A HEALING PLACE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 07/23/2025
Certification Date: 07/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14835 SE 85TH ST
OCKLAWAHA FL
32179-3556
US

IV. Provider business mailing address

6100 TOWER CIR STE 1000
FRANKLIN TN
37067-1509
US

V. Phone/Fax

Practice location:
  • Phone: 352-288-3333
  • Fax: 352-288-0296
Mailing address:
  • Phone: 615-861-6000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code323P00000X
TaxonomyPsychiatric Residential Treatment Facility
License Number2452
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number0542AD3490
License Number StateFL

VIII. Authorized Official

Name: BRIAN P. FARLEY
Title or Position: VP & SECRETARY
Credential:
Phone: 615-861-6000