| The Grove Counseling Center Inc | |
|
111 W Magnolia Ave Longwood FL 32750-4130 | |
| (407) 327-1765 | |
| (407) 339-2129 |
| Full Name | The Grove Counseling Center Inc |
|---|---|
| Speciality | Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children |
| Location | 111 W Magnolia Ave, Longwood, Florida |
| Authorized Official Name and Position | Larry A Birch (PRESIDENT) |
| Authorized Official Contact | 4073271765 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Grove Counseling Center Inc 111 W Magnolia Ave Longwood FL 32750-4130 Ph: (407) 327-1765 | The Grove Counseling Center Inc 111 W Magnolia Ave Longwood FL 32750-4130 Ph: (407) 327-1765 |
| NPI Number | 1780614826 |
|---|---|
| Provider Enumeration Date | 07/04/2006 |
| Last Update Date | 01/07/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780614826 | NPI | - | NPPES |
| 216457 | Other | FL | AMERIGROUP # |
| 122945 | Other | FL | VALUE OPTIONS # |
| 331964 | Other | FL | MHN, INC. |
| S2A | Other | FL | BLUE CROSS BLUE SHIELD |
| 0295965 | Medicaid | FL | |
| 44248 | Other | FL | CIGNA PROVIDER # |
| 208983 | Other | FL | HARMONY HEALTH |
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