Organization
EXCEPTIONAL HEALTHCARE SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OSBEL VARGAS GONZALEZ RN (PRESIDENT)
(239) 645-2730
Entity
Organization
Contact information
Practice address
13240 N CLEVELAND AVE STE 1, NORTH FORT MYERS, FL 33903-4855
(239) 645-2730
Mailing address
4318 SW 9TH PL, CAPE CORAL, FL 33914-5759
(239) 645-2730
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
261Q00000X
Clinic/Center
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/28/2020
Last updated
11/09/2020
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