OrganizationActive
Libra 85
NPI 1124443346 · Psychiatric Residential Treatment Facility · Daytona Beach, FL
Provider details
- NPI number
- 1124443346
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Jacek Dygdon, Owner(386) 315-0899
- License
- AL5675 (FL)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
624 S Atlantic Ave
Daytona Beach, FL 32118-4510
Phone: (386) 315-0899
Approximate (ZIP-level) locationGet directions
Mailing address
624 S Atlantic Ave
Daytona Beach, FL 32118-4510
Registry dates
- Enumerated
- 2014-02-25
- Last updated
- 2014-02-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.