# PREVENT OF BREVARD, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063440022
- **Authorized official:** MRS. KAY HEIMMER (PRESIDENT CEO)
- **Authorized official phone:** (321) 259-7262

## Contact information

- **Practice address:** 1948 PINEAPPLE AVE, MELBOURNE, FL 32935-7609
- **Practice address phone:** (321) 259-7262
- **Practice address fax:** (321) 259-7198
- **Mailing address:** 1948 PINEAPPLE AVE, MELBOURNE, FL 32935-7609
- **Mailing address phone:** (321) 259-7262
- **Mailing address fax:** (321) 259-7198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | 07AD751901 | FL | Yes |

## Other

- **Enumeration date:** 06/29/2006
- **Last updated:** 07/18/2007
