| Disc Village, Inc. | |
|
1476 Sw Main St Greenville FL 32331-3149 | |
| (850) 948-1231 | |
| (850) 948-1230 |
| Full Name | Disc Village, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1476 Sw Main St, Greenville, Florida |
| Authorized Official Name and Position | Melissa Skipton (QUALITY ASSURANCE DIRECTOR) |
| Authorized Official Contact | 8507661251 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Disc Village, Inc. 3333 West Pensacola Street Ste. 300 Tallahassee FL 32304-2888 Ph: (850) 575-4388 | Disc Village, Inc. 1476 Sw Main St Greenville FL 32331-3149 Ph: (850) 948-1231 |
| NPI Number | 1548971997 |
|---|---|
| Provider Enumeration Date | 12/07/2022 |
| Last Update Date | 12/07/2022 |
| Certification Date | 11/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548971997 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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