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Organization

CIRCLE OF FRIENDS SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. BARBARA JEAN DEFAZZIO LMHC (PRESIDENT)
(386) 259-5413
Entity
Organization

Contact information

Practice address
517 DELTONA BLVD, SUITE A, DELTONA, FL 32725-8016
(386) 259-5413
(386) 753-9265
Mailing address
517 DELTONA BLVD, SUITE A, DELTONA, FL 32725-8016
(386) 259-5413
(386) 753-9265

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001258900
FL
05
001258901
FL
05
001258904
FL
05
001258905
FL
Enumeration date
02/09/2009
Last updated
07/21/2014
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