Organization
THE CHILDRENS ADVOCACY CENTER OF VOLUSIA & FLAGLER COUNTIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. REGINALD WILLIAMS (CEO)
(386) 238-3830
Entity
Organization
Contact information
Practice address
1011 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-3421
(386) 238-3830
(386) 257-7805
Mailing address
1011 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-3421
(386) 238-3830
(386) 257-7805
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
252Y00000X
Early Intervention Provider Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
811590700
—
FL
Enumeration date
02/07/2007
Last updated
04/24/2014
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