Central Core Institute | |
30 N Grove St Suite C Merritt Island FL 32953-3530 | |
(321) 863-0599 | |
Not Available |
Full Name | Central Core Institute |
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Speciality | Community/behavioral Health |
Location | 30 N Grove St, Merritt Island, Florida |
Authorized Official Name and Position | Susan D. Berry (PRESIDENT, DIRECTOR) |
Authorized Official Contact | 3218630599 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Central Core Institute 30 N Grove St Suite C Merritt Island FL 32953-3530 Ph: (321) 863-0599 | Central Core Institute 30 N Grove St Suite C Merritt Island FL 32953-3530 Ph: (321) 863-0599 |
NPI Number | 1902024052 |
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Provider Enumeration Date | 04/23/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902024052 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | MH7592 (Florida) | Primary |
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