Organization · NPI-2
Allegiance Resiliency Therapy L.L.C.
Community/Behavioral Health · Crestview, FL
NPI number1386290724
StatusActive
Last updated in NPPESOct 5, 2022
Details
- NPI
- 1386290724
- Entity type
- Organization (NPI-2)
- Legal business name
- Allegiance Resiliency Therapy L.L.C.
- Organization subpart
- No
- Enumeration date
- Aug 12, 2019
- Certification date
- Oct 5, 2022
- Last updated
- Oct 5, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | – | – | Yes |
Practice location
550 N Main St Ste ACrestview, FL 32536-3506
Phone 850-238-7131
Mailing address
550 N Main St Ste ACrestview, FL 32536-3506
Phone 850-238-7131
Other practice locations
1614 Us Highway 90 W Ste A
Defuniak Springs, FL 32433-1463
Defuniak Springs, FL 32433-1463
Phone 850-238-7131
Authorized official
Patricia Cross
Ceo
8502387131
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