Organization
CFSATC, INC.
Active
Other names
Central Florida Treatment Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE KNEESSY MS, LMHC, MCAP (REGIONAL DIRECTOR)
(321) 951-9750
Entity
Organization
Contact information
Practice address
7 N COCOA BLVD, COCOA, FL 32922-7749
(321) 631-4578
Mailing address
7 N COCOA BLVD, COCOA, FL 32922-7749
(321) 631-4578
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
0705AD119401
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075363700
—
FL
Enumeration date
06/19/2007
Last updated
05/19/2020
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