Organization
BIG BEND COMMUNITY INTERVENTION CENTER
Active
Organization
BIG BEND COMMUNITY INTERVENTION CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALISHA T BURNS LCSW (OWNER)
(850) 508-1870
Entity
Organization
Contact information
Practice address
155 SLASH CIR, MIDWAY, FL 32343-4258
(850) 508-1870
(850) 539-9303
Mailing address
PO BOX 1237, QUINCY, FL 32353-1237
(850) 508-1870
(850) 539-9303
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
SW 9723
FL
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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