Organization
PEMBERLEY ADMINISTRATIVE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA BRITT (PRESIDENT)
(904) 466-1106
Entity
Organization
Contact information
Practice address
157 HAMPTON POINT DR STE 1, ST AUGUSTINE, FL 32092-3054
(904) 466-1106
Mailing address
1175 WESTWOOD DR, SAINT JOHNS, FL 32259-9293
(904) 466-1106
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
08/30/2017
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