| Community Behavior Supports, Inc. | |
|
4717 66th St N Kenneth City FL 33709-3113 | |
| (727) 744-9829 | |
| Not Available |
| Full Name | Community Behavior Supports, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 4717 66th St N, Kenneth City, Florida |
| Authorized Official Name and Position | Elvis Badnjevic (PRESIDENT) |
| Authorized Official Contact | 8135054675 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavior Supports, Inc. 4717 66th St N Kenneth City FL 33709-3113 Ph: () - | Community Behavior Supports, Inc. 4717 66th St N Kenneth City FL 33709-3113 Ph: (727) 744-9829 |
| NPI Number | 1912667205 |
|---|---|
| Provider Enumeration Date | 12/28/2021 |
| Last Update Date | 12/28/2021 |
| Certification Date | 12/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912667205 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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