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Organization
MAJOR IMPACT SUPPORT SERVICES, INC
Active
Organization
MAJOR IMPACT SUPPORT SERVICES, INC
Active
Other names
Major Impact Support Services, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLAYTON LAMBERT MAJOR SR. MS (CO-OWNER)
(239) 822-8401
Entity
Organization
Contact information
Practice address
8875 HIDDEN RIVER PKWY, TAMPA, FL 33637-1035
(239) 226-4357
(239) 226-4352
Mailing address
1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
(239) 822-8472
(239) 226-4352
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
NULL
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
NULL
261QM0850X
Adult Mental Health Clinic/Center
—
NULL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003799000
—
FL
Enumeration date
05/16/2019
Last updated
05/16/2019
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