OrganizationActive
Addiction and Intervention Professionals, LLC.
NPI 1023326014 · Substance Use Disorder Rehabilitation Clinic/Center · St Augustine, FL
Provider details
- NPI number
- 1023326014
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Jackson, Executive Director
Practice location
352 Paseo Reyes Dr
St Augustine, FL 32095-8464
Phone: (904) 808-8373
Fax: (904) 808-8390
Mailing address
352 Paseo Reyes Dr
St Augustine, FL 32095-8464
Registry dates
- Enumerated
- 2010-09-23
- Last updated
- 2010-09-23
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.