| Greenville Outpatient Services, Inc. | |
|
437 Nw Jackrabbit Loop Greenville FL 32331-3233 | |
| (954) 536-9539 | |
| Not Available |
| Full Name | Greenville Outpatient Services, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 437 Nw Jackrabbit Loop, Greenville, Florida |
| Authorized Official Name and Position | David Hoskins (CEO) |
| Authorized Official Contact | 9545369539 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Outpatient Services, Inc. Po Box 551213 Jacksonville FL 32255-1213 Ph: (954) 536-9539 | Greenville Outpatient Services, Inc. 437 Nw Jackrabbit Loop Greenville FL 32331-3233 Ph: (954) 536-9539 |
| NPI Number | 1215557772 |
|---|---|
| Provider Enumeration Date | 04/24/2020 |
| Last Update Date | 04/24/2020 |
| Certification Date | 04/24/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215557772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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