| Family Initiative | |
|
734 Sw 4th St Unit 6 Cape Coral FL 33991-1922 | |
| (239) 910-0712 | |
| Not Available |
| Full Name | Family Initiative |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 734 Sw 4th St Unit 6, Cape Coral, Florida |
| Authorized Official Name and Position | Carter Thaddeus Dumas (REGISTERED BEHAVIOR TECHNICIAN) |
| Authorized Official Contact | 5186514408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Initiative 734 Sw 4th St Unit 6 Cape Coral FL 33991-1922 Ph: (239) 910-0712 | Family Initiative 734 Sw 4th St Unit 6 Cape Coral FL 33991-1922 Ph: (239) 910-0712 |
| NPI Number | 1578203642 |
|---|---|
| Provider Enumeration Date | 03/29/2022 |
| Last Update Date | 03/29/2022 |
| Certification Date | 03/17/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578203642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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