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Organization
THE HOUSE NEXT DOOR
Active
Organization
THE HOUSE NEXT DOOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GAIL HALLMON (OPERATIONS DIRECTOR)
(386) 734-7571
Entity
Organization
Contact information
Practice address
840 DELTONA BLVD, DELTONA, FL 32725-7162
(386) 734-7571
(386) 734-0252
Mailing address
840 DELTONA BLVD, DELTONA, FL 32725-7162
(386) 734-7571
(386) 734-0252
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH5223
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070525000
—
FL
Enumeration date
04/23/2015
Last updated
04/23/2015
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