Organization
PREVENT OF BREVARD, INC.
Active
Organization
PREVENT OF BREVARD, INC.
Active
Parent organization
PREVENT OF BREVARD, INC.
Other names
CARE PROGRAM
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREVENT OF BREVARD, INC.
Authorized official
MS. RAHILA BASHIR LMHC (CLINICAL DIRECOTR)
(407) 207-7544
Entity
Organization
Contact information
Practice address
2115 BABCOCK ST, MELBOURNE, FL 32901
(321) 729-0779
Mailing address
1948 PINEAPPLE AVE, MELBOURNE, FL 32935-7609
(321) 259-7262
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1538369630
FL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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