Organization Name: | SUBSTANCE ABUSE COALITION OF COLLIER COUNTY |
NPI Number: | 1417390246 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELANIE A BLACK (EXECUTIVE DIRECTOR) |
Mailing Address: | 5775 Osceola Trl Naples |
State: | FL US |
Postal Code: | 341090919 |
Phone Number: | 2393770516 |
Fax Number: | |
NPI Enumeration Date: | 04/11/2013 |
NPI Last Update Date: | 04/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |