Organization
CROSSWINDS YOUTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN D LOCKE MPA (CHIEF OPERATING OFFICER)
(321) 452-0800
Entity
Organization
Contact information
Practice address
1407 DIXON BLVD, COCOA, FL 32922
(321) 452-0800
(321) 452-0800
Mailing address
1407 DIXON BLVD, COCOA, FL 32922-6411
(321) 452-0800
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
075153700
—
FL
Enumeration date
11/05/2012
Last updated
11/05/2012
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