Community Mental Health Services Center | |
2799 Kiowa Ave Orange Park FL 32065-7465 | |
(346) 467-8903 | |
Not Available |
Full Name | Community Mental Health Services Center |
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Speciality | Counselor - Mental Health |
Location | 2799 Kiowa Ave, Orange Park, Florida |
Authorized Official Name and Position | Hamilton Merilus (DIRECTOR/CLINICAL MANAGER) |
Authorized Official Contact | 3464678903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Community Mental Health Services Center 2799 Kiowa Ave Orange Park FL 32065-7465 Ph: (346) 467-8903 | Community Mental Health Services Center 2799 Kiowa Ave Orange Park FL 32065-7465 Ph: (346) 467-8903 |
NPI Number | 1780393553 |
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Provider Enumeration Date | 11/21/2022 |
Last Update Date | 11/21/2022 |
Certification Date | 11/19/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780393553 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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