Organization
EXCHANGE CLUB CENTER FOR PREVENTION OF CHILD ABUSE OF THE SPACE COAST
Active
Organization
EXCHANGE CLUB CENTER FOR PREVENTION OF CHILD ABUSE OF THE SPACE COAST
Active
Other names
Yellow Umbrella
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ALETHEA M KLUVER-WILLIAMS LCSW (CLINICAL DIRECTOR)
(321) 914-9971
Entity
Organization
Contact information
Practice address
4680 LIPSCOMB ST NE, SUITE 10A, PALM BAY, FL 32905-2984
(321) 723-2927
(321) 723-2928
Mailing address
4680 LIPSCOMB ST NE, SUITE 10A, PALM BAY, FL 32905-2984
(321) 723-2927
(321) 723-2928
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
MH2142
FL
251S00000X
Community/Behavioral Health Agency
Primary
MH2142
FL
252Y00000X
Early Intervention Provider Agency
MH2142
FL
253Z00000X
In Home Supportive Care Agency
MH2142
FL
Other
Enumeration date
11/11/2011
Last updated
06/15/2015
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