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Organization

PARTNERS WITH PEOPLE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CATHERINE DIANE IRWIN M.S. BCBA (DIRECTOR)
(850) 934-5857
Entity
Organization

Contact information

Practice address
2735 SUNRUNNER LN, GULF BREEZE, FL 32563-5510
(850) 934-5857
(850) 916-6590
Mailing address
2735 SUNRUNNER LN, GULF BREEZE, FL 32563-5510
(850) 943-5857
(850) 916-6590

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
679778496
FL
05
679778498
FL
Enumeration date
05/11/2011
Last updated
05/11/2011
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