| Non Profit | |
|
150 W University Blvd Building 265 Melbourne FL 32901-6975 | |
| (321) 727-9956 | |
| (321) 726-6727 |
| Full Name | Non Profit |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 150 W University Blvd, Melbourne, Florida |
| Authorized Official Name and Position | Barbara Michele Pawlillo (DIRECTOR LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 3217279956 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Non Profit 150 W University Blvd Building 265 Melbourne FL 32901-6975 Ph: (321) 727-9956 | Non Profit 150 W University Blvd Building 265 Melbourne FL 32901-6975 Ph: (321) 727-9956 |
| NPI Number | 1285893180 |
|---|---|
| Provider Enumeration Date | 06/05/2008 |
| Last Update Date | 06/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285893180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | P43748 (Florida) | Primary |
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