Organization
SOUTHEASTERN CLINICAL SPECIALTIES INC
Active
Other names
The Praxis Program
Organization subpart
No
Provider details
NPI number
Authorized official
MAXINE A MICHAEL (PRESIDENT)
(727) 415-9185
Entity
Organization
Contact information
Practice address
2303 HOLLYWOOD BLVD STE 12, HOLLYWOOD, FL 33020-6768
(727) 415-9185
Mailing address
2801 NE 10TH AVE, WILTON MANORS, FL 33334-3711
(727) 415-9185
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/19/2010
Last updated
05/19/2010
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