| Central Florida Treatment Center | |
|
7 N Cocoa Blvd Cocoa FL 32922-7749 | |
| (321) 631-4578 | |
| Not Available |
| Full Name | Central Florida Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7 N Cocoa Blvd, Cocoa, Florida |
| Authorized Official Name and Position | Dave Kneessy (REGIONAL DIRECTOR) |
| Authorized Official Contact | 3219519750 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Florida Treatment Center 7 N Cocoa Blvd Cocoa FL 32922-7749 Ph: (321) 631-4578 | Central Florida Treatment Center 7 N Cocoa Blvd Cocoa FL 32922-7749 Ph: (321) 631-4578 |
| NPI Number | 1316142334 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 05/19/2020 |
| Certification Date | 05/19/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316142334 | NPI | - | NPPES |
| 075363700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 0705AD119401 (Florida) | Primary |
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