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Raveon1947
Mental Health Clinic/Center (Including Community Mental Health Center) in Bradenton, Florida
NPI 1205317930

Raveon1947 is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Lakewood Ranch, FL and is specialized in Mental Health (Including Community Mental Health Center). Raveon1947 practices in Bradenton, FL. The NPI Number for Raveon1947 is 1205317930 and holds a License No. (Florida).

The current practice location address for Raveon1947 is 9040 Town Center Parkway, Bradenton, FL and can be reached out via phone at 941-685-0265 and via fax at 941-552-5650.

Location: 9040 Town Center Parkway, Bradenton, FL, 34202-4101
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205317930
Provider Name
Raveon1947
Credential
Provider Entity Type
Organization
Address
9040 Town Center Parkway, Bradenton, FL, 34202-4101
Phone Number
941-685-0265
Fax Number
941-552-5650
Provider Enumeration Date
08/21/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
9040 Town Center Parkway
City
Bradenton
State
Florida
Zip
34202-3420
Phone Number
941-685-0265
Fax Number
941-552-5650
person
Provider Business Mailing Address Details
Address
9040 Town Center Parkway
City
Bradenton
State
Florida
Zip
34202-3420
Phone Number
941-685-0265
Fax Number
941-552-5650
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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