Organization
CHANGING STRIDES COMMUNITY SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANITHRA MINUS (CEO)
(772) 828-8796
Entity
Organization
Contact information
Practice address
130 S INDIAN RIVER DR STE 242, FORT PIERCE, FL 34950-4353
(772) 828-8796
Mailing address
130 S INDIAN RIVER DR STE 242, FORT PIERCE, FL 34950-4353
(772) 828-8796
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2020
Last updated
09/19/2020
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