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Peace Club Inc.
Substance Use Disorder Rehabilitation Clinic/Center in Cocoa Beach, Florida
NPI 1891206793

Peace Club Inc. is a Substance Use Disorder Rehabilitation Clinic/Center based in Cocoa Beach, FL and is specialized in Rehabilitation, Substance Use Disorder. Peace Club Inc. practices in Cocoa Beach, FL. The NPI Number for Peace Club Inc. is 1891206793 and holds a License No. MH13258 (Florida).

The current practice location address for Peace Club Inc. is 1811 S. Orlando Avenue, Cocoa Beach, FL and can be reached out via phone at 321-961-5833.

Location: 1811 S. Orlando Avenue, Cocoa Beach, FL, 32931-2340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1891206793
Provider Name
Peace Club Inc.
Credential
Provider Entity Type
Organization
Address
1811 S. Orlando Avenue, Cocoa Beach, FL, 32931-2340
Phone Number
321-961-5833
Fax Number
Provider Enumeration Date
10/18/2017
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MH13258 01 FL LMHC
institution
Provider Business Practice Location Address Details
Address
1811 S. Orlando Avenue
City
Cocoa Beach
State
Florida
Zip
32931
Phone Number
321-961-5833
Fax Number
person
Provider Business Mailing Address Details
Address
1811 S. Orlando Avenue
City
Cocoa Beach
State
Florida
Zip
32931
Phone Number
321-961-5833
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
1000359 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
MH13258 (Florida)
Definition
Definition to come...
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