Organization Name: | NEIGHBOR TO FAMILY |
NPI Number: | 1689760837 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BARBARA DEFAZZIO (DIRECTOR OF CLINICAL SERVICES) |
Mailing Address: | 503 N Pine Meadow Dr Debary |
State: | FL US |
Postal Code: | 327132365 |
Phone Number: | 3866681546 |
Fax Number: | |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MHC6336 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |