Crosswinds Youth Services, Inc. | |
1407 Dixon Blvd Cocoa FL 32922-6411 | |
(321) 452-0800 | |
(321) 394-0385 |
Full Name | Crosswinds Youth Services, Inc. |
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Speciality | Community/behavioral Health |
Location | 1407 Dixon Blvd, Cocoa, Florida |
Authorized Official Name and Position | Karen Locke (DIRECTOR OF PROGRAMS) |
Authorized Official Contact | 3214520800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Crosswinds Youth Services, Inc. 1407 Dixon Blvd Cocoa FL 32922-6411 Ph: (321) 452-0800 | Crosswinds Youth Services, Inc. 1407 Dixon Blvd Cocoa FL 32922-6411 Ph: (321) 452-0800 |
NPI Number | 1245404375 |
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Provider Enumeration Date | 04/18/2008 |
Last Update Date | 04/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1245404375 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 0705AD694301 (Florida) | Primary |
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