Center for Behavioral Medicine
NPI #1003348855 in Port Orange, Florida
Provider Information
- NPI Number
- 1003348855
- Entity Type
- Organization
- Organization Name
- Center for Behavioral Medicine
- Primary Specialty
- Counselor - Mental Health
- Enumeration Date
- Mar 31, 2017
- Last Updated
- Mar 31, 2017
Practice Location
- Address
- 1730 DUNLAWTON AVE
- Address 2
- SUITE 3
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-8985
- Phone
- (138) 695-7390
Authorized Official
- Name
- SHANE PORTER
- Title
- MANAGING PARTNER
- Phone
- 13869573905
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
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