| Diverse Interventions Social And Behavioral Sciences, Llc | |
|
501 Sportsman Park Dr Seffner FL 33584-4153 | |
| (813) 531-5380 | |
| Not Available |
| Full Name | Diverse Interventions Social And Behavioral Sciences, Llc |
|---|---|
| Speciality | Early Intervention Provider Agency |
| Location | 501 Sportsman Park Dr, Seffner, Florida |
| Authorized Official Name and Position | Christine Li'chele' Moore (CEO) |
| Authorized Official Contact | 8135315380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Diverse Interventions Social And Behavioral Sciences, Llc Po Box 1526 Seffner FL 33583-1526 Ph: (813) 531-5380 | Diverse Interventions Social And Behavioral Sciences, Llc 501 Sportsman Park Dr Seffner FL 33584-4153 Ph: (813) 531-5380 |
| NPI Number | 1285329540 |
|---|---|
| Provider Enumeration Date | 04/11/2023 |
| Last Update Date | 04/11/2023 |
| Certification Date | 04/11/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285329540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
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