Organization
COMMUNITY INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NJERIA OTIKA KAMILAH MCCLAIN M.S. (CASE MANAGER)
(850) 222-3508
Entity
Organization
Contact information
Practice address
1353-B CROSS CREEK CIRCLE, TALLAHASSEE, FL 32301
(850) 222-3508
(850) 222-3066
Mailing address
1353-B CROSS CREEK CIRCLE, TALLAHASSEE, FL 32301
(850) 222-3508
(850) 222-3066
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/31/2012
Last updated
07/31/2012
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