Organization
SARA MATOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARA LISA MATOS MSW (CLINICAL COUNSELOR)
(347) 721-1527
Entity
Organization
Contact information
Practice address
711 NW 1ST ST, GAINESVILLE, FL 32601-5343
(347) 721-1527
Mailing address
6415 E LOWDEN ST, INVERNESS, FL 34452-9110
(347) 721-1527
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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