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Organization

BACOT ACADEMY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. CINDY KIMBRELL BACOT (EXECUTIVE DIRECTOR)
(850) 215-2614
Entity
Organization

Contact information

Practice address
3704 W 23RD ST, SUITE D, PANAMA CITY, FL 32405-1371
(850) 215-2614
Mailing address
3704 W 23RD ST, SUITE D, PANAMA CITY, FL 32405-1371
(850) 215-2614

Taxonomy

Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary

Other

Enumeration date
05/02/2014
Last updated
05/02/2014
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