Organization
COMMUNITY ACCESS TO CHILD HEALTH OF BREVARD, INC.
Active
Other names
CATCH Early Steps
Organization subpart
No
Provider details
NPI number
Authorized official
LISA KAY GEMMILL (HR MANAGER)
(321) 634-3688
Entity
Organization
Contact information
Practice address
1264 US HIGHWAY 1 STE 103, ROCKLEDGE, FL 32955-2746
(321) 634-3688
(321) 504-0955
Mailing address
1264 US HIGHWAY 1 STE 103, ROCKLEDGE, FL 32955-2746
(321) 634-3688
(321) 504-0955
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811059000
—
FL
05
—
885356800
—
FL
Enumeration date
05/03/2007
Last updated
02/15/2022
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