Sma Behavioral Health Services, Inc

NPI 1114905940 - Substance Abuse Rehabilitation Facility - 324500000X

NPI Details
NPI 1114905940
Enumeration Date 01/03/2006
Last Updated 05/22/2015
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name IVAN A IVAN
Position CEO
Phone (386) 236-3225
Fax (386) 236-3175
Practice Location
1341 INDIAN LAKE RD
DAYTONA BEACH FL, 32124-1039, US
Phone (386) 236-3225
Fax (386) 236-3175
Business Location
1341 INDIAN LAKE RD
DAYTONA BEACH FL, 32124-1039, US
Phone (386) 236-3225
Fax (386) 236-3175
Toxanomy
Taxonomy Code 324500000X
License State Florida
License Number 1264AD6866-01
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According to our database, Sma Behavioral Health Services, Inc NPI is 1114905940, taxonomy code is 324500000X and license number is 1264AD6866-01, license state is located at Florida. Sma Behavioral Health Services, Inc physically located at 1341 Indian Lake Rd, Daytona Beach FL, 32124-1039. NPI Number 1033115704 has the healthcare provider type.

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1114905940 NPI number is provided on an as is basis without warranty of any kind. 1114905940 is maintained by the National Plan & Provider Enumeration System. The contents of Sma Behavioral Health Services, Inc are for informational purposes only.