| Epic Community Services, Inc. | |
|
3910 Lewis Suites 1102-1104 Saint Augustine FL 32084-8649 | |
| (904) 829-2273 | |
| (904) 824-0724 |
| Full Name | Epic Community Services, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3910 Lewis, Saint Augustine, Florida |
| Authorized Official Name and Position | Patricia Greenough (CEO) |
| Authorized Official Contact | 9048292273 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Epic Community Services, Inc. 1400 Old Dixie Hwy Suite A. Saint Augustine FL 32084-4190 Ph: (904) 829-2273 | Epic Community Services, Inc. 3910 Lewis Suites 1102-1104 Saint Augustine FL 32084-8649 Ph: (904) 829-2273 |
| NPI Number | 1972256204 |
|---|---|
| Provider Enumeration Date | 01/27/2022 |
| Last Update Date | 01/27/2022 |
| Certification Date | 01/27/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972256204 | NPI | - | NPPES |
| 070827500 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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