Organization
COMMUNITY OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CARL EPLEY (INTEMIN EXECUTIVE DIRECTOR)
(386) 736-0420
Entity
Organization
Contact information
Practice address
245 S AMELIA AVE, DELAND, FL 32724-5913
(386) 736-0420
(386) 738-4838
Mailing address
245 S AMELIA AVE, DELAND, FL 32724-5913
(386) 736-0420
(386) 738-4838
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1264AD8975-00
FL
Other
Enumeration date
06/13/2007
Last updated
06/06/2008
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