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Contact Information

BREVARD ACHIEVEMENT CENTER
1845 COGSWELL STREET
ROCKLEDGE, FL32955
 Phone: 321-632-8610
 Fax: 321-639-5087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Community/Behavioral Health

251S00000X
Indicates primary specialty

NPI Profile & details for BREVARD ACHIEVEMENT CENTER

NPI Number 1215237342
LBN Legal business name BREVARD ACHIEVEMENT CENTER
Authorized official RYAN ROGERS - (VICE PRESIDENT, ADMINISTRATION)
Entity Organization
Organization subpart 1 No
Enumeration date 10/22/2010
Last updated 10/28/2010 - About 16 years ago
Identifiers
FL Medicaid 024163601
FL Medicaid 024163696
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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