NPI: 1407211535
Provider Name: MAJOR IMPACT, INC.
Doing Business As: MAJOR IMPACT, INC.
Classification: Counselor - 101YA0400X
Entity Type: Organization
Specialization: Addiction (Substance Use Disorder)
Address:
1960 VELASCO ST
SUITE J-2
FORT MYERS, FL
ZIP 33916
Phone: (239) 226-4357
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MAJOR IMPACT, INC. is an addiction (substance use disorder) counselor in Fort Myers, FL. MAJOR IMPACT, INC. NPI is 1407211535. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Major Impact, Inc..
The provider's business location address is:
1960 VELASCO ST
SUITE J-2
FORT MYERS, FL
ZIP 33916-761
Phone: (239) 226-4357
Fax: (239) 226-4352
The provider's authorized official is Clayton Lambert Major .
The authorized official title is Co-owner and has the following contact phone number (239) 226-4357.
The enumeration date for this NPI number is 12/16/2015 and was last updated on 12/16/2015.