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Organization
BEHAVIORAL HEALTH OF ORMOND BEACH
Active
Organization
BEHAVIORAL HEALTH OF ORMOND BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA L BROOKS ARNP PA (OWNER)
(386) 672-7470
Entity
Organization
Contact information
Practice address
533 N NOVA RD STE 203, ORMOND BEACH, FL 32174-4422
(386) 672-7470
(386) 672-0771
Mailing address
533 N NOVA RD STE 203, ORMOND BEACH, FL 32174-4422
(386) 672-7470
(386) 672-0771
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
NULL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
10/15/2007
Last updated
11/01/2016
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