Canopy Cove
NPI #1487804142 in Tallahassee, Florida
Provider Information
- NPI Number
- 1487804142
- Entity Type
- Organization
- Organization Name
- Canopy Cove
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- DR. LYNDA BROGDON PHD
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Sep 19, 2016
Practice Location
- Address
- 13305 MAHAN DR
- City
- Tallahassee
- State
- Florida
- ZIP Code
- 32309-8698
- Phone
- (850) 893-8800
Authorized Official
- Name
- DR. LYNDA A BROGDON, PHD
- Title
- CLINICAL DIRECTOR
- Phone
- (850) 893-8800
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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