| The Children's Advocacy Center | |
|
1011 W International Speedway Blvd Daytona Beach FL 32114-3421 | |
| (386) 238-3830 | |
| (386) 238-2018 |
| Full Name | The Children's Advocacy Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1011 W International Speedway Blvd, Daytona Beach, Florida |
| Authorized Official Name and Position | Darlene Lee Stewart (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3862383830 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Children's Advocacy Center 1011 W International Speedway Blvd Daytona Beach FL 32114-3421 Ph: (386) 238-3830 | The Children's Advocacy Center 1011 W International Speedway Blvd Daytona Beach FL 32114-3421 Ph: (386) 238-3830 |
| NPI Number | 1497920367 |
|---|---|
| Provider Enumeration Date | 04/23/2008 |
| Last Update Date | 04/23/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497920367 | NPI | - | NPPES |
| 029955300 | Medicaid | FL | |
| 759653700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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