Organization
SPACE COAST HEALTH FOUNDATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JOHNETTE GINDLING (EXECUTIVE DIRECTOR)
(321) 637-2606
Entity
Organization
Contact information
Practice address
505 BREVARD AVE STE 106, COCOA, FL 32922-7973
(321) 632-5792
(321) 632-5796
Mailing address
1100 ROCKLEDGE BLVD STE 100, ROCKLEDGE, FL 32955-2818
(321) 241-6600
(321) 690-6621
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
09/15/2021
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