| Disc Village, Inc. | |
|
85 High Dr Crawfordville FL 32327-2032 | |
| (850) 926-2452 | |
| (850) 926-8355 |
| Full Name | Disc Village, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 85 High Dr, Crawfordville, Florida |
| Authorized Official Name and Position | Melissa Skipton (QA DIRECTOR) |
| Authorized Official Contact | 8507661251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Disc Village, Inc. 3333 W Pensacola St Tallahassee FL 32304-2888 Ph: (850) 575-4388 | Disc Village, Inc. 85 High Dr Crawfordville FL 32327-2032 Ph: (850) 926-2452 |
| NPI Number | 1912077017 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912077017 | NPI | - | NPPES |
| 060600611 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Florida) | Primary |
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