Organization
VETERANS & COMMUNITY RESOURCE CENTER CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENYA WOODARD (EXECUTIVE DIRECTOR)
(727) 350-5388
Entity
Organization
Contact information
Practice address
2140 9TH AVE N, SAINT PETERSBURG, FL 33713-7134
(727) 530-5388
Mailing address
2140 9TH AVE N, SAINT PETERSBURG, FL 33713-7134
(727) 530-5388
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
—
—
251V00000X
Voluntary or Charitable Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
292200000X
Dental Laboratory
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
02/10/2015
Last updated
04/02/2015
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