Provider Demographics
NPI:1881902187
Name:COMMUNITY SERVICES COUNCIL OF BREVARD COUNTY
Entity type:Organization
Organization Name:COMMUNITY SERVICES COUNCIL OF BREVARD COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIAL OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:MICHELE
Authorized Official - Middle Name:
Authorized Official - Last Name:DILLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-639-8770
Mailing Address - Street 1:3600 KING ST
Mailing Address - Street 2:
Mailing Address - City:COCOA
Mailing Address - State:FL
Mailing Address - Zip Code:32926-4150
Mailing Address - Country:US
Mailing Address - Phone:321-639-8770
Mailing Address - Fax:321-636-8446
Practice Address - Street 1:3600 KING ST
Practice Address - Street 2:
Practice Address - City:COCOA
Practice Address - State:FL
Practice Address - Zip Code:32926-4150
Practice Address - Country:US
Practice Address - Phone:321-639-8770
Practice Address - Fax:321-636-8446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-21
Last Update Date:2010-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable