Organization
ARTHUR CHANNER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AUDREY WATSON (CEO)
(813) 689-4243
Entity
Organization
Contact information
Practice address
1452 OAKFIELD DR, BRANDON, FL 33511-4853
(813) 438-8276
Mailing address
1452 OAKFIELD DR, BRANDON, FL 33511-4853
(813) 438-8276
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
018120200
FL
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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