| Big Bend Community Intervention Center | |
|
155 Slash Cir Midway FL 32343-4258 | |
| (850) 508-1870 | |
| (850) 539-9303 |
| Full Name | Big Bend Community Intervention Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 155 Slash Cir, Midway, Florida |
| Authorized Official Name and Position | Alisha T Burns (OWNER) |
| Authorized Official Contact | 8505081870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Bend Community Intervention Center Po Box 1237 Quincy FL 32353-1237 Ph: (850) 508-1870 | Big Bend Community Intervention Center 155 Slash Cir Midway FL 32343-4258 Ph: (850) 508-1870 |
| NPI Number | 1831492669 |
|---|---|
| Provider Enumeration Date | 12/16/2010 |
| Last Update Date | 12/16/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831492669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | SW 9723 (Florida) | Primary |
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