Provider Demographics
NPI:1518505411
Name:DIALOGICAL INTERACTION RECOVERY, CORP.
Entity Type:Organization
Organization Name:DIALOGICAL INTERACTION RECOVERY, CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:TORE
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MCAP
Authorized Official - Phone:904-513-4550
Mailing Address - Street 1:515 N. WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32202
Mailing Address - Country:US
Mailing Address - Phone:904-322-3558
Mailing Address - Fax:904-513-4990
Practice Address - Street 1:515 N. WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32202
Practice Address - Country:US
Practice Address - Phone:904-322-3558
Practice Address - Fax:904-513-4990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-11
Last Update Date:2019-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility