Organization
DIVERSE INTERVENTIONS SOCIAL AND BEHAVIORAL SCIENCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTINE LI'CHELE' MOORE PHD (CEO)
(813) 531-5380
Entity
Organization
Contact information
Practice address
501 SPORTSMAN PARK DR, SEFFNER, FL 33584-4153
(813) 531-5380
Mailing address
PO BOX 1526, SEFFNER, FL 33583-1526
(813) 531-5380
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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