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Organization

2-1-1 BREVARD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. ELIZABETH B. DONOGHUE (EXECUTIVE DIRECTOR)
(321) 631-9290
Entity
Organization

Contact information

Practice address
625 FLORIDA AVE, STE. 4, COCOA, FL 32922-7970
(321) 631-9290
(321) 631-9291
Mailing address
PO BOX 417, COCOA, FL 32923-0417
(321) 631-9290
(321) 631-9291

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
07/09/2006
Last updated
07/31/2008
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