| Majestic Behavioral Services | |
|
1057 Mason Ave Daytona Beach FL 32117-4611 | |
| (386) 253-9391 | |
| (386) 253-9391 |
| Full Name | Majestic Behavioral Services |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1057 Mason Ave, Daytona Beach, Florida |
| Authorized Official Name and Position | La Toya Sharnett Gregory (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3862539391 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Majestic Behavioral Services 1057 Mason Ave Daytona Beach FL 32117-4611 Ph: (386) 253-9391 | Majestic Behavioral Services 1057 Mason Ave Daytona Beach FL 32117-4611 Ph: (386) 253-9391 |
| NPI Number | 1245620327 |
|---|---|
| Provider Enumeration Date | 01/28/2015 |
| Last Update Date | 01/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245620327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0764AD478701 (Florida) | Primary |
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