| Adult & Child Mental Health Care, Llc | |
|
4622 Summerdale Blvd. Pace FL 32571 | |
| (850) 466-3200 | |
| (850) 466-3203 |
| Full Name | Adult & Child Mental Health Care, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4622 Summerdale Blvd., Pace, Florida |
| Authorized Official Name and Position | Karen Adams (OWNER/DIRECTOR) |
| Authorized Official Contact | 8504663200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Adult & Child Mental Health Care, Llc 4622 Summerdale Blvd. Pace FL 32571 Ph: (850) 466-3200 | Adult & Child Mental Health Care, Llc 4622 Summerdale Blvd. Pace FL 32571 Ph: (850) 466-3200 |
| NPI Number | 1629832282 |
|---|---|
| Provider Enumeration Date | 02/13/2024 |
| Last Update Date | 07/03/2024 |
| Certification Date | 07/03/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629832282 | NPI | - | NPPES |
| 008355300 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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