| Children's Home Society Of Florida | |
|
1403 Dixon Blvd Cocoa FL 32922-6471 | |
| (321) 752-3170 | |
| Not Available |
| Full Name | Children's Home Society Of Florida |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1403 Dixon Blvd, Cocoa, Florida |
| Authorized Official Name and Position | Andry Sweet (PRESIDENT/CEO) |
| Authorized Official Contact | 3213973000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Home Society Of Florida 5766 S Semoran Blvd Orlando FL 32822-4818 Ph: (321) 397-3000 | Children's Home Society Of Florida 1403 Dixon Blvd Cocoa FL 32922-6471 Ph: (321) 752-3170 |
| NPI Number | 1316022841 |
|---|---|
| Provider Enumeration Date | 10/25/2006 |
| Last Update Date | 05/30/2023 |
| Certification Date | 05/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316022841 | NPI | - | NPPES |
| 070680901 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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