| Cope Center, Inc | |
|
103 Pinehaven Dr Mary Esther FL 32569-3323 | |
| (850) 218-3532 | |
| Not Available |
| Full Name | Cope Center, Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 103 Pinehaven Dr, Mary Esther, Florida |
| Authorized Official Name and Position | Cheryl Ann Stulzaft (COMPREHENSIVE ASSESSOR) |
| Authorized Official Contact | 8502183532 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cope Center, Inc 103 Pinehaven Dr Mary Esther FL 32569-3323 Ph: (850) 218-3532 | Cope Center, Inc 103 Pinehaven Dr Mary Esther FL 32569-3323 Ph: (850) 218-3532 |
| NPI Number | 1073617155 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 08/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073617155 | NPI | - | NPPES |
| 766724800 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | ISW 3621 (Florida) | Primary |
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