Organization
CHILD ADVOCACY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VAL GILL M.A. (FA DIRECTOR)
(239) 939-2808
Entity
Organization
Contact information
Practice address
3830 EVANS AVE, FORT MYERS, FL 33901-9305
(239) 939-4794
Mailing address
3830 EVANS AVE, FORT MYERS, FL 33901-9305
(239) 939-4794
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070980800
—
FL
Enumeration date
01/10/2013
Last updated
01/10/2013
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