Organization
FAMILY INITIATIVE
Active
Other names
Family initiative
Organization subpart
No
Provider details
NPI number
Authorized official
CARTER THADDEUS DUMAS (REGISTERED BEHAVIOR TECHNICIAN)
(518) 651-4408
Entity
Organization
Contact information
Practice address
734 SW 4TH ST UNIT 6, CAPE CORAL, FL 33991-1922
(239) 910-0712
Mailing address
734 SW 4TH ST UNIT 6, CAPE CORAL, FL 33991-1922
(239) 910-0712
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
03/29/2022
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