Organization Name: | NASSAU COUNTY MENTAL HEALTH ALCOHOL & DRUG ABUSE |
NPI Number: | 1558325050 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LAUREEN PAGEL (CEO) |
Mailing Address: | 463142 State Road 200 Yulee |
State: | FL US |
Postal Code: | 320975554 |
Phone Number: | 9042258280 |
Fax Number: | 9042258232 |
NPI Enumeration Date: | 04/13/2006 |
NPI Last Update Date: | 10/14/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251V00000X |
License Number: | 550400709285C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Voluntary or Charitable |
Taxonomy Specialization: | |
Taxonomy Definition: |