PREVENT OF BREVARD, INC.

MELBOURNE, FL
NPI1932389483
Other NameCARE PROGRAM
Entity TypeOrganization
Authorized ContactRAHILA BASHIR
Clinical Direcotr
407-207-7544
Organization Subpart ?Yes
Primary Taxonomy251S00000X 
(Licence: FL  1538369630)
Enumeration Date2007-11-13
Last Update Date2007-11-13
Business Address
PREVENT OF BREVARD, INC.
2115 BABCOCK ST
MELBOURNE, FL 32901
Phone number: 321-729-0779
Mailing Address
PREVENT OF BREVARD, INC.
1948 PINEAPPLE AVE
MELBOURNE, FL 32935-7609
Phone number: 321-259-7262