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Active
Other names
ProjectFREE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. KIM R COSTANZO (EXECUTIVE DIRECTOR)
(954) 551-7730
Entity
Organization

Contact information

Practice address
2825 BEACH BLVD S, GULFPORT, FL 33707-5535
(727) 599-4673
Mailing address
2825 BEACH BLVD S, GULFPORT, FL 33707-5535
(727) 599-4673

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Enumeration date
03/14/2014
Last updated
03/14/2014
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