| Community Intervention Center | |
|
1353-b Cross Creek Circle Tallahassee FL 32301 | |
| (850) 222-3508 | |
| (850) 222-3066 |
| Full Name | Community Intervention Center |
|---|---|
| Speciality | Case Management |
| Location | 1353-b Cross Creek Circle, Tallahassee, Florida |
| Authorized Official Name and Position | Njeria Otika Kamilah Mcclain (CASE MANAGER) |
| Authorized Official Contact | 8502223508 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Intervention Center 1353-b Cross Creek Circle Tallahassee FL 32301 Ph: (850) 222-3508 | Community Intervention Center 1353-b Cross Creek Circle Tallahassee FL 32301 Ph: (850) 222-3508 |
| NPI Number | 1508112228 |
|---|---|
| Provider Enumeration Date | 07/31/2012 |
| Last Update Date | 07/31/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508112228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251B00000X | Case Management | (* (Not Available)) | Primary |
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