Organization

Brevard Achievement Center

Community/Behavioral Health Agency in Rockledge, FL(View on Map)

Legal Business Name

Brevard Achievement Center

NPI Number

1215237342

NPI Type

Organization

Enumeration Date

10/22/2010

Specialties

(Taxonomies)

Code

251S00000X

Primary Taxonomy

Yes

Contact
Information

Purpose

Mailing
Location

Address

1845 COGSWELL STREET
1845 COGSWELL STREET

City

Rockledge
Rockledge

State

FL
FL

Postal Code

32955
32955

Country

US
US

Telephone Number

(321) 632-8610
(321) 632-8610

Authorized Official

Name

Mr. Ryan Rogers

Title or Position

VICE PRESIDENT, ADMINISTRATION

Telephone Number

(321) 632-8610

Identifiers

Identifier

024163601
024163696

Identifier State

FL
FL

Identifier Issuer

Unknown
Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 10/28/2010

Provider Address

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