Organization
CHILDRENS HOME SOCIETY TREASURE COAST
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID A BUNDY CEO (PRESIDENT)
(321) 397-3000
Entity
Organization
Contact information
Practice address
590 NW PEACOCK BLVD, SUITE 9, PORT ST LUCIE, FL 34986-2213
(772) 344-4020
(772) 344-4038
Mailing address
1485 S SEMORAN BLVD, SUITE 1448, WINTER PARK, FL 32792-5533
(321) 397-3000
(321) 397-3016
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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