| M&a Community Outreach Center Inc | |
|
1400 N P St Pensacola FL 32505-6440 | |
| (850) 429-1755 | |
| Not Available |
| Full Name | M&a Community Outreach Center Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1400 N P St, Pensacola, Florida |
| Authorized Official Name and Position | Dorothy Marie Brown (DIRECTOR /PROVIDER) |
| Authorized Official Contact | 8504291755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| M&a Community Outreach Center Inc P.o. Box 2071 Pensacola FL 32513-2071 Ph: (850) 429-1755 | M&a Community Outreach Center Inc 1400 N P St Pensacola FL 32505-6440 Ph: (850) 429-1755 |
| NPI Number | 1164958229 |
|---|---|
| Provider Enumeration Date | 05/11/2017 |
| Last Update Date | 11/09/2020 |
| Certification Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164958229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH14926 (Florida) | Primary |
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