Provider Demographics
NPI:1578033395
Name:A.N.C.H.O.R TREATMENT CENTER, LLC
Entity Type:Organization
Organization Name:A.N.C.H.O.R TREATMENT CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SURINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-694-6311
Mailing Address - Street 1:220 OFFICE PLAZA DR
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32301-2808
Mailing Address - Country:US
Mailing Address - Phone:850-694-6311
Mailing Address - Fax:801-681-0164
Practice Address - Street 1:220 OFFICE PLAZA DR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32301-2808
Practice Address - Country:US
Practice Address - Phone:850-694-6311
Practice Address - Fax:801-681-0164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-12-05
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder