Space Coast Health Foundation, Inc.

NPI #1538406566 in Cocoa, Florida

Provider Information

NPI Number: 1538406566
Entity Type: Organization
Organization Name: Space Coast Health Foundation, Inc.
Primary Specialty: Clinic/Center - Mental Health (Including Community Mental Health Center)
Enumeration Date: Jan 10, 2013
Last Updated: Sep 15, 2021

Practice Location

Address: 505 BREVARD AVE STE 106
City: Cocoa
State: Florida
ZIP Code: 32922-7973
Phone: (321) 632-5792

Authorized Official

Name: MS. JOHNETTE GINDLING
Title: EXECUTIVE DIRECTOR
Phone: (321) 637-2606

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Public Health or Welfare	251K00000X
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X	Primary

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