ALACHUA ADULT, CHILD AND FAMILY GUIDANCE CENTER, INC
Managed Care Organizations at 27 Ln, Gainesville, FL

License number
Florida MH 2118
Category
Managed Care Organizations
Type
Preferred Provider Organization
Owner
Name: SUSAN M. ARMSTRONG PHD, LMHC
Title: OWNER/PRESIDENT
Phone: (352) 338-0164
Address
Address
4140 NW 27Th Ln SUITE B, Gainesville, FL 32606
National Provider ID: 1255675369
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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ALACHUA ADULT, CHILD AND FAMILY GUIDANCE CENTER, INC

4140 NW 27 Ln B, Gainesville, FL 32606

Status:
Inactive
Inactive reason:
Reinstatement
Registration:
Sep 11, 1989
Inactive since:
Jan 15, 2012
State ID:
L15457
Business type:
Florida Profit Corporation
Susan Armstrong, 4140 NW 27 Ln SUITE B, Gainesville, FL 32606 (Physical)
FEI/EIN:
592967570

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