Home At Last Of Brevard,inc. - Mental Health Clinic in Palm Bay, FL

Home At Last Of Brevard,inc. is a mental health clinic (Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities) in Palm Bay, Florida. The current practice location for Home At Last Of Brevard,inc. is 2333 Jupiter Blvd Sw, Palm Bay, Florida. For appointments, you can reach them via phone at (321) 508-4639. The mailing address for Home At Last Of Brevard,inc. is 2333 Jupiter Blvd Sw, Palm Bay, Florida and phone number is () -.

Home At Last Of Brevard,inc. is licensed to practice in Florida (license number ) and its NPI number is 1508169657. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (321) 508-4639.

Contact Information

Home At Last Of Brevard,inc.
2333 Jupiter Blvd Sw
Palm Bay
FL 32908-3416
(321) 508-4639
Not Available

Mental Health Clinic Profile

Full NameHome At Last Of Brevard,inc.
SpecialityCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Location2333 Jupiter Blvd Sw, Palm Bay, Florida
Authorized Official Name and PositionAlvin Payne (PRESIDENT)
Authorized Official Contact3215084639
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Home At Last Of Brevard,inc.
2333 Jupiter Blvd Sw
Palm Bay
FL 32908-3416

Ph: () -
Home At Last Of Brevard,inc.
2333 Jupiter Blvd Sw
Palm Bay
FL 32908-3416

Ph: (321) 508-4639

NPI Details:

NPI Number1508169657
Provider Enumeration Date12/13/2010
Last Update Date12/13/2010

Medical Identifiers

Medical identifiers for Home At Last Of Brevard,inc. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1508169657NPI-NPPES
674701996OtherFLMEDICAID WAIVER

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
251S00000XCommunity/behavioral Health (Florida)Secondary
320900000XCommunity Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities (Florida)Primary

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Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Palm Bay, FL

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