Organization
DEVEREUX
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARISOL LINDSAY (PROGRAM MANAGER)
(386) 738-5543
Entity
Organization
Contact information
Practice address
120 E NEW YORK AVE, SUITE B, DELAND, FL 32724-5568
(386) 738-5543
(866) 596-2824
Mailing address
120 E NEW YORK AVE, SUITE B, DELAND, FL 32724-5568
(386) 738-5543
(866) 596-2824
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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