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 (OWNER)
(239) 226-4357
Entity
Organization
Contact information
Practice address
1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
(239) 226-4657
(239) 226-4352
Mailing address
1960 VELASCO ST STE J2, FORT MYERS, FL 33916-2761
(239) 226-4657
(239) 226-4352
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/28/2022
Last updated
01/28/2022
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