C.h.a.n.g.e.s. Youth Services | |
1067 Covington St Oviedo FL 32765-7034 | |
(407) 276-3069 | |
Not Available |
Full Name | C.h.a.n.g.e.s. Youth Services |
---|---|
Speciality | Community/behavioral Health |
Location | 1067 Covington St, Oviedo, Florida |
Authorized Official Name and Position | Tamara Lee Mohammed (VICE PRESIDENT) |
Authorized Official Contact | 4072763069 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
C.h.a.n.g.e.s. Youth Services 1067 Covington St Oviedo FL 32765-7034 Ph: (407) 276-3069 | C.h.a.n.g.e.s. Youth Services 1067 Covington St Oviedo FL 32765-7034 Ph: (407) 276-3069 |
NPI Number | 1720372451 |
---|---|
Provider Enumeration Date | 05/28/2011 |
Last Update Date | 05/28/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720372451 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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