| Florida Community Prevention Center, Inc. | |
|
96098 Victorias Pl Yulee FL 32097-6349 | |
| (904) 321-4097 | |
| Not Available |
| Full Name | Florida Community Prevention Center, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 96098 Victorias Pl, Yulee, Florida |
| Authorized Official Name and Position | Latrece M Rowell (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 9043214097 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Florida Community Prevention Center, Inc. 96098 Victorias Pl Yulee FL 32097-6349 Ph: () - | Florida Community Prevention Center, Inc. 96098 Victorias Pl Yulee FL 32097-6349 Ph: (904) 321-4097 |
| NPI Number | 1568712495 |
|---|---|
| Provider Enumeration Date | 09/18/2012 |
| Last Update Date | 09/18/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568712495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | N01000001168 (Florida) | Primary |
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