Central Florida Treatment Center | |
7 N Cocoa Blvd Cocoa FL 32922-7749 | |
(321) 631-4578 | |
Not Available |
Full Name | Central Florida Treatment Center |
---|---|
Speciality | Community/behavioral Health |
Location | 7 N Cocoa Blvd, Cocoa, Florida |
Authorized Official Name and Position | Dave Kneessy (REGIONAL DIRECTOR) |
Authorized Official Contact | 3219519750 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Central Florida Treatment Center 7 N Cocoa Blvd Cocoa FL 32922-7749 Ph: (321) 631-4578 | Central Florida Treatment Center 7 N Cocoa Blvd Cocoa FL 32922-7749 Ph: (321) 631-4578 |
NPI Number | 1316142334 |
---|---|
Provider Enumeration Date | 06/19/2007 |
Last Update Date | 05/19/2020 |
Certification Date | 05/19/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316142334 | NPI | - | NPPES |
075363700 | Medicaid | FL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0705AD119401 (Florida) | Primary |
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