| Prestige Behavioral Center Llc | |
|
2105 Sw 20th Ave Cape Coral FL 33991-3514 | |
| (239) 789-0041 | |
| Not Available |
| Full Name | Prestige Behavioral Center Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2105 Sw 20th Ave, Cape Coral, Florida |
| Authorized Official Name and Position | Ariana Danta (CEO) |
| Authorized Official Contact | 2397890041 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prestige Behavioral Center Llc 2105 Sw 20th Ave Cape Coral FL 33991-3514 Ph: (239) 789-0041 | Prestige Behavioral Center Llc 2105 Sw 20th Ave Cape Coral FL 33991-3514 Ph: (239) 789-0041 |
| NPI Number | 1457926305 |
|---|---|
| Provider Enumeration Date | 05/24/2021 |
| Last Update Date | 05/24/2021 |
| Certification Date | 05/24/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457926305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
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