Organization · Type 2 NPI

Club Community Care LLC

Community/Behavioral Health Agency · Lake City, FL

NPI number 1982200382 Active

Practice location

164 NW Madison St
Lake City, FL 32055-3904

Specialties and licenses

Taxonomy	Code	License
Case Management Agency	251B00000X	None listed
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

2 other providers at this address

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About NPI 1982200382

Club Community Care LLC's National Provider Identifier is 1982200382, issued on Dec 10, 2020. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Lake City, FL. The record was last updated on Dec 10, 2020.