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NPI Code Detail

MEDICARE: CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC.

MEDICARE: CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251K00000XPublic Health or Welfare Agency

General Provider Information

NPI Number : 1306843859
Entity Type Code : Organization
Provider Name (Legal Business Name) : CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC.
Provider Business Mailing Address
First Line : 1218 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4245
Country : US
Telephone Number : 352-244-0628
Fax Number : 352-334-3817
Provider Business Practice Location Address
First Line : 1218 NW 6TH ST
Second Line :
City : GAINESVILLE
State : FL
Zip : 32601-4245
Country : US
Telephone Number : 352-244-0628
Fax Number : 352-334-3817
Authorized Official
Title or Position : CHIEF OPERATIONS OFFICER
Name : MR. SAMUEL P CLARK
Credential :
Telephone Number : 352-244-0628
Provider Enumeration Date : 06/30/2005
Last Update Date : 04/06/2010

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Directions to “CDS FAMILY & BEHAVIORAL HEALTH SERVICES, INC. ” Practice Location

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