Organization
COMMUNITY COALITION ALLIANCE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBI MACINTYRE (BOARD CHAIR)
(352) 408-2009
Entity
Organization
Contact information
Practice address
516 S 10TH ST, SUITE 211, FERNANDINA, FL 32034-3530
(904) 277-3699
(904) 277-7043
Mailing address
516 S 10TH ST, SUITE 211, FERNANDINA, FL 32034-3530
(904) 277-3699
(904) 277-7043
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
08/15/2013
Last updated
08/15/2013
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