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Organization

MAJESTIC BEHAVIORAL SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LA TOYA SHARNETT GREGORY MBA, CCJAP, CAP (EXECUTIVE DIRECTOR)
(386) 253-9391
Entity
Organization

Contact information

Practice address
1057 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 253-9391
(386) 253-9391
Mailing address
1057 MASON AVE, DAYTONA BEACH, FL 32117-4611
(386) 253-9391
(386) 253-9391

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0764AD478701
FL

Other

Enumeration date
01/28/2015
Last updated
01/28/2015
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