Organization · Type 2 NPI

Individual Provider

Community/Behavioral Health Agency · Longwood, FL

NPI number 1033587795 Active

Practice location

650 Palermo Vista Ct
Longwood, FL 32750-3419

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	ISW10093 (FL)

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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About NPI 1033587795

Individual Provider's National Provider Identifier is 1033587795, issued on Sep 10, 2015. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Longwood, FL. The record was last updated on Sep 10, 2015.