Organization
LEE'S PLACE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENDA MARTIN RABALAIS PHD (PRESIDENT)
(850) 841-7733
Entity
Organization
Contact information
Practice address
216 LAKE ELLA DR, TALLAHASSEE, FL 32303-5545
(850) 841-7733
(850) 841-7702
Mailing address
216 LAKE ELLA DR, TALLAHASSEE, FL 32303-5545
(850) 841-7733
(850) 841-7702
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CH13571
FL
Other
Enumeration date
06/23/2010
Last updated
06/23/2010
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