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NPI 1073313177 · Substance Use Disorder Rehabilitation Clinic/Center · Palatka, FL
Provider details
- NPI number
- 1073313177
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kimberly Young, Ceo(386) 333-9622
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
216 S 6th St Ste 3
Palatka, FL 32177-4608
Phone: (386) 333-9622
Street-level locationGet directions
Mailing address
724 S Beach St Ste 3
Daytona Beach, FL 32114-5412
Other names (DBA / former)
- Doing business as
- Break the Cycle
Registry dates
- Enumerated
- 2025-03-17
- Last updated
- 2025-03-17
- Certified
- 2025-03-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.