| Organization Name: | PRESBYTERIAN COUNSELING CENTER |
| NPI Number: | 1023277571 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ALEXANDER J BAER (EXECUTIVE AND CLINICAL DIRECTOR) |
| Mailing Address: | 430 Braddock Ave Daytona Beach |
| State: | FL US |
| Postal Code: | 321184616 |
| Phone Number: | 3862581618 |
| Fax Number: | 3862534215 |
| NPI Enumeration Date: | 06/09/2008 |
| NPI Last Update Date: | 06/09/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 251V00000X |
| License Number: | N13551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | Voluntary or Charitable |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |