Organization
CHILDRENS HOME SOCIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE MARIE BASS (COUNSELOR)
(321) 412-0177
Entity
Organization
Contact information
Practice address
326 CROTON RD, MELBOURNE, FL 32935-6340
(321) 752-3170
Mailing address
326 CROTON RD, MELBOURNE, FL 32935-6340
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/04/2012
Last updated
04/04/2012
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