Organization
PIONEERING HOPE AND DISCOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. TYESHA MOORE MSW (PRESIDENT)
(321) 287-1336
Entity
Organization
Contact information
Practice address
500 STATE ROAD 436, SUITE 2030, CASSELBERRY, FL 32707-5387
(321) 368-4018
Mailing address
500 STATE ROAD 436, SUITE 2030, CASSELBERRY, FL 32707-5387
(321) 368-4018
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/22/2015
Last updated
03/10/2016
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