| D.i.v.a. Empowerment Group | |
|
274 Wilshire Blvd Ste 237 Casselberry FL 32707-5367 | |
| (407) 545-2717 | |
| Not Available |
| Full Name | D.i.v.a. Empowerment Group |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 274 Wilshire Blvd Ste 237, Casselberry, Florida |
| Authorized Official Name and Position | Tojauna Jackson-forbes (OWNER) |
| Authorized Official Contact | 3212636994 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| D.i.v.a. Empowerment Group 274 Wilshire Blvd Ste 237 Casselberry FL 32707-5367 Ph: () - | D.i.v.a. Empowerment Group 274 Wilshire Blvd Ste 237 Casselberry FL 32707-5367 Ph: (407) 545-2717 |
| NPI Number | 1922673227 |
|---|---|
| Provider Enumeration Date | 05/20/2021 |
| Last Update Date | 05/20/2021 |
| Certification Date | 05/20/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922673227 | NPI | - | NPPES |
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