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NPI Code Detail

MEDICARE: ANCHOR RECOVERY FOUNDATION, INC.

MEDICARE: ANCHOR RECOVERY FOUNDATION, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1320800000XMental Illness Community Based Residential Treatment Facility
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1679186589
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANCHOR RECOVERY FOUNDATION, INC.
Provider Business Mailing Address
First Line : 220 OFFICE PLZ
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2808
Country : US
Telephone Number : 850-694-6311
Fax Number :
Provider Business Practice Location Address
First Line : 220 OFFICE PLZ
Second Line :
City : TALLAHASSEE
State : FL
Zip : 32301-2808
Country : US
Telephone Number : 850-694-6311
Fax Number :
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : SURINA ALVARADO
Credential :
Telephone Number : 850-694-6311
Provider Enumeration Date : 08/29/2020
Last Update Date : 09/12/2020

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Directions to “ANCHOR RECOVERY FOUNDATION, INC. ” Practice Location

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