NPI 1275735649

Alachua County Metamorphosis

Organisation Substance Abuse Rehabilitation Facility Gainesville, FL

Practice location

Address: 4201 SW 21st Pl, Gainesville, FL 32607-4282
Phone: (352) 955-2450
Fax: (352) 955-2452

Authorised official

Name: Melanie Corona
Title: Clinical Supervisor
Phone: (352) 955-2450

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X Licence 0301AD050101 (FL)

Other Substance Abuse Rehabilitation Facility providers in Florida →

Registry record

NPI: 1275735649
Entity type: Organization
NPI issued: 5 Jun 2007
Record last updated: 24 Mar 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.