| Alina Community Center At Mount Dora Llc | |
|
4601 N Highway 19a Mount Dora FL 32757-2039 | |
| (352) 602-7924 | |
| (352) 602-4952 |
| Full Name | Alina Community Center At Mount Dora Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 4601 N Highway 19a, Mount Dora, Florida |
| Authorized Official Name and Position | Gravil Joseph (CEO) |
| Authorized Official Contact | 9543923000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Alina Community Center At Mount Dora Llc 4601 N Highway 19a Mount Dora FL 32757-2039 Ph: (352) 602-7924 | Alina Community Center At Mount Dora Llc 4601 N Highway 19a Mount Dora FL 32757-2039 Ph: (352) 602-7924 |
| NPI Number | 1841801842 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841801842 | NPI | - | NPPES |
| 106393700 | Medicaid | FL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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