| Central Florida Treatment Center Palm Bay | |
|
2198 Harris Ave Ne Palm Bay FL 32905-4002 | |
| (321) 951-9750 | |
| (321) 951-9765 |
| Full Name | Central Florida Treatment Center Palm Bay |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2198 Harris Ave Ne, Palm Bay, Florida |
| Authorized Official Name and Position | Dave Kneessy (REGIONAL DIRECTOR) |
| Authorized Official Contact | 3219519750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Treatment Center Palm Bay 2198 Harris Ave Ne Palm Bay FL 32905-4002 Ph: (321) 951-9750 | Central Florida Treatment Center Palm Bay 2198 Harris Ave Ne Palm Bay FL 32905-4002 Ph: (321) 951-9750 |
| NPI Number | 1356548721 |
|---|---|
| Provider Enumeration Date | 06/29/2007 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356548721 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0705AD119402 (Florida) | Primary |
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