Organization
HALIFAX BEHAVIORAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIPTI SHARMA LINCOLN (RMHCI)
(386) 425-3900
Entity
Organization
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 425-3900
Mailing address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101Y00000X
FL
Other
Enumeration date
02/20/2015
Last updated
02/20/2015
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