| Developing Growth In Families Center | |
|
774 State Road 13 Ste 7 Saint Johns FL 32259-3857 | |
| (904) 287-0820 | |
| (904) 287-4141 |
| Full Name | Developing Growth In Families Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 774 State Road 13, Saint Johns, Florida |
| Authorized Official Name and Position | Margaret E Bailey (OWNER) |
| Authorized Official Contact | 9042870820 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Developing Growth In Families Center 774 State Road 13 Ste 7 Saint Johns FL 32259-3857 Ph: (904) 287-0820 | Developing Growth In Families Center 774 State Road 13 Ste 7 Saint Johns FL 32259-3857 Ph: (904) 287-0820 |
| NPI Number | 1194099077 |
|---|---|
| Provider Enumeration Date | 02/24/2012 |
| Last Update Date | 02/24/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194099077 | NPI | - | NPPES |
| 688076296 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH 3293 (Florida) | Primary |
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