Organization
DEVEREUX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARISOL LINDSAY (PROGRAM MANAGER)
(386) 801-7654
Entity
Organization
Contact information
Practice address
120 E NEW YORK AVE STE B, DELAND, FL 32724-5527
(386) 738-5543
Mailing address
120 E NEW YORK AVE STE B, DELAND, FL 32724-5527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/07/2014
Last updated
02/07/2014
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