Organization Name: | PACE PASTORAL COUNSELING CENTER |
NPI Number: | 1437216017 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ARTHUR G CROSSWELL (DIRECTOR) |
Mailing Address: | 4587 Woodbine Rd Pace |
State: | FL US |
Postal Code: | 325718761 |
Phone Number: | 8509959732 |
Fax Number: | |
NPI Enumeration Date: | 01/02/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MH 5432 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |