| NPI | 1295520898 |
|---|---|
| Doing Business As | SPACE COAST HEALTH |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MAE FLECK CEO/ Owner 321-425-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |