Provider Demographics
NPI:1972684272
Name:DICK HOWSER CENTER
Entity Type:Organization
Organization Name:DICK HOWSER CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:PAM
Authorized Official - Middle Name:
Authorized Official - Last Name:KUHLMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:850-671-3569
Mailing Address - Street 1:240 MABRY ST
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32304-3815
Mailing Address - Country:US
Mailing Address - Phone:850-671-3569
Mailing Address - Fax:850-671-3024
Practice Address - Street 1:240 MABRY ST
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32304-3815
Practice Address - Country:US
Practice Address - Phone:850-671-3569
Practice Address - Fax:850-671-3024
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCO2LE0235251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLX1284OtherPROVIDER NUMBER BCBS