| Full Name | Cic |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 345 Office Plz, Tallahassee, Florida |
| Authorized Official Name and Position | Sharon L Morris (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8502223508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cic 345 Office Plz Tallahassee FL 32301-2729 Ph: (850) 222-3508 | Cic 345 Office Plz Tallahassee FL 32301-2729 Ph: (850) 222-3508 |
| NPI Number | 1164403754 |
|---|---|
| Provider Enumeration Date | 11/10/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164403754 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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