Mr. Carl Edward Smith Jr., CRRA
Mr. Carl Edward Smith Jr., CRRA is a Substance Use Disorder Rehabilitation Clinic/Center in Daytona Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2021
Practice location Address checks out
527 N Ridgewood AveDaytona Beach, FL 32114-2107
Phone: (386) 319-6160
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Specialties & licences
| Substance Use Disorder Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0405X · Licence IND-877173 (FL) |
|---|
Record details
| NPI number | 1982376521 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CRRA |
| Sole proprietor | Yes |
| NPI enumerated | October 1, 2021 |
| Last updated in NPPES | October 1, 2021 |
| Certification date | October 1, 2021 |
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